Individual provider Active NPI

Samantha Codes, RN

  • Registered Nurse
  • Brandywine, MD
National Provider Identifier
1952936288
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R228960 Issued in MD
Practice address
7704 Matapeake Business Dr Ste 315
Brandywine, MD 20613-3043
Phone
(301) 856-3062
Fax
(301) 856-3113
NPI assigned
Mar 6, 2020
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R228960 MD Primary

Addresses

Primary practice location

7704 Matapeake Business Dr Ste 315
Brandywine, MD 20613-3043

Mailing address

7704 Matapeake Business Dr Ste 315
Brandywine, MD 20613-3043
Phone (301) 856-3062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R228960MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of the Mid-Atlantic PC CurrentSince May 7, 2024 Accepting new patients
Pediatrix Medical Group of the Mid-Atlantic PC PastSince Mar 9, 2020 Accepting new patients

Locations

7704 Matapeake Business Dr
Ste 315
Brandywine, MD 20613
Phone (301) 856-3062

Organizations & group practices 2

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": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1952936288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7704 MATAPEAKE BUSINESS DR STE 315",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133043",
            "telephone_number": "301-856-3062",
            "fax_number": "301-856-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 MATAPEAKE BUSINESS DR STE 315",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133043",
            "telephone_number": "301-856-3062",
            "fax_number": "301-856-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODES",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R228960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.