Samantha Sontich, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

71015609A Issued in IN

Practice address

2600 W White River Blvd
Muncie, IN 47303-5263

Phone

(765) 286-7000

NPI assigned

Jul 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.sontich.1@10844.direct.athenahealth.com

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

• Open Door Health Services, Inc.

  dba Southway Urgent Center

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1770510240
  Medicare reassignment NPD
• Open Door Health Services, Inc.

  dba Open Door Health Services YMCA

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1376349316
  NPD
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1902851082
  NPD
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1104133511
  NPD (past)
• Open Door Health Services, Inc.

  dba Open Door Health Services Blackford County

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Anderson, IN
  • NPI 1508811910
  NPD (past)
• Open Door Health Services, Inc.

  dba Open Door Family Planning

  • Federally Qualified Health Center (FQHC)
  • Muncie, IN
  • NPI 1912080060
  NPD (past)

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1932889789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1676",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473081676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473035263",
            "telephone_number": "765-286-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Barnhill Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025218",
            "country_code": "US",
            "telephone_number": "317-374-6124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONTICH",
        "first_name": "SAMANTHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "71015609A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison N Solesky
• Marcelle R Soliman, PA-C, MPAS
• Wael Reda Attallah Soliman
• Eldon R Solomon, LMHC, MS
• Joseph M Songer, MD
• Sara Lynn Sorrell, PHD, M.D.
• Jada Soto, RBT
• Haley Jacqueline Sours
• Southway Family Dentistry
• Chantel Sowers

• Pediatric Nurse Practitioner in Muncie, IN
• Providers in Muncie, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.