Active NPI
Samantha Noah
- Nurse Practitioner
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP3405522
- Practice address
- 1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243 - Phone
- (352) 331-3583
- Fax
- (352) 331-3669
- NPI assigned
- Sep 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3405522 | FL | Primary |
Addresses
Primary practice location
1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243
Mailing address
1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243
Phone (352) 331-3583
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
224 NW Crane Ave
Madison, FL 32340-1400
Phone (850) 253-1923
Hospital & facility affiliations
- Madison County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison County Hospital Health Systems, Inc. | Current | Accepting new patients | |
| FL-I Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Madison County Hospital Health Systems, Inc. | Current | Accepting new patients | |
| North Meridian Medical Services Corporation | Current | Accepting new patients | |
| SMD EMS Group LLC | Current | Accepting new patients | |
| Southland EMS at Madison, PLLC | Current | Accepting new patients | |
| FL-I Medical Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| FL-I Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| West Florida Specialty Physicians LLC | Past | Accepting new patients |
Locations
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923
Organizations & group practices 9
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.
-
- Critical Access Hospital
- Madison, FL
- NPI 1104821461
-
- Emergency Medicine Physician
- Madison, FL
- NPI 1376428763
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1760740237
-
- Emergency Medicine Physician
- Madison, FL
- NPI 1801024880
-
- Medicare Defined Swing Bed Hospital Unit
- Madison, FL
- NPI 1083684856
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1942538012
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Madison, FL
- NPI 1104821461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1982152377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 NW 64TH TER",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054243",
"telephone_number": "352-331-3583",
"fax_number": "352-331-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 NW 64TH TER",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054243",
"telephone_number": "352-331-3583",
"fax_number": "352-331-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOAH",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-14",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3405522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.