Marie Bernadette Samson-Joseph, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN3170352 Issued in FL

Practice address

3852 NW 62ND St
Coconut Creek, FL 33073-2140

Phone

(954) 429-9721

Fax

(954) 429-9721

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Marie Bernadette Samson Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marie.samson-joseph.1@32578.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.

• Bonafide Healthcare Services LLC

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1205460474
  Medicare reassignment Authorized official
• PCC Medical Holdings LLC

  • Internal Medicine Physician
  • Lake Worth, FL
  • NPI 1174167993
  Medicare reassignment NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1942350848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8579 GRAND PRIX LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722736",
            "telephone_number": "754-245-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 NW 62ND ST",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732140",
            "telephone_number": "954-429-9721",
            "fax_number": "954-429-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON-JOSEPH",
        "first_name": "MARIE",
        "middle_name": "BERNADETTE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN3170352",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3170352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "SAMSON",
            "middle_name": "BERNADETTE",
            "prefix": "DR.",
            "credential": "PHD, MSN, BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saleem Haq, M.D., P.a.
• Saltzman, Tanis, Pittel, Levin and Jacobson
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
• Sandra Samame, LCSW
• Marie Ann Sammet
• Eric B Samuel, MD
• Hector Frank Sanchez Gonzalez
• Martha Soraya Sanchez Landazabal, M.D.
• Cathy Sanchez, LCSW
• Connie Sanchez, LCSW

• Gerontology Nurse Practitioner in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.