Individual provider Active NPI

Satta Yonday Samura, FNP

  • Family Nurse Practitioner
  • Buckeystown, MD
National Provider Identifier
1912546110
Registry record updated Apr 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R189114 Issued in MD
Practice address
3521 Buckeystown Pike
Buckeystown, MD 21717-1006
Phone
(240) 215-3338
NPI assigned
Jan 6, 2020
Last updated
Apr 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R189114 MD Primary

Addresses

Primary practice location

3521 Buckeystown Pike
Buckeystown, MD 21717-1006

Mailing address

20529 Lowfield Dr
Germantown, MD 20874-2817
Phone (301) 806-7580

Other practice location 1

20529 Lowfield Dr
Germantown, MD 20874-2817
Phone (301) 806-7580

Other practice location 2

202 Perry Pkwy Ste 5
Gaithersburg, MD 20877-2172
Phone (301) 806-7580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 L St NW
Suite 500
Washington, DC 20036-4955
Phone (240) 626-1949

2753 Hillfield Dr
Frederick, MD 21702-1677

7100 Guilford Dr
Suite 2037
Frederick, MD 21704-5257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R189114MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Outlook Support LLC Current Accepting new patients
Naonee's Healthcare Services Family Current Accepting new patients
The Freedom Center, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1912546110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20529 LOWFIELD DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742817",
            "telephone_number": "301-806-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 BUCKEYSTOWN PIKE",
            "city": "BUCKEYSTOWN",
            "state": "MD",
            "postal_code": "217171006",
            "telephone_number": "240-215-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20529 Lowfield Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742817",
            "country_code": "US",
            "telephone_number": "301-806-7580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Perry Pkwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772172",
            "country_code": "US",
            "telephone_number": "301-806-7580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMURA",
        "first_name": "SATTA",
        "middle_name": "YONDAY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R189114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeystown, MD

Sources for this page

Verify at the official NPI Registry.