SAMANTHA ELIZABETH PICKETT


Address: 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601
Phone: 2568983004

SAMANTHA ELIZABETH PICKETT (NPI# 1063950319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063950319
Entity Type Individual
Full Name SAMANTHA ELIZABETH PICKETT
Credential CRNP
Practice Address 1115 Beltline Rd Se
Ste 400
Decatur
AL 35601
Practice Telephone 2568983004
Practice Fax Number 2568983009
Mailing Telephone 2568983004
Mailing Fax Number 2568983009
Enumeration Date 2017-02-07
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
1-087692 AL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
101 Professional Ln, Enterprise, AL 363302085 3343473404 3343473430

Office Location

Street Address 1115 BELTLINE RD SE
STE 400
City DECATUR
State AL
Zip Code 35601

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376000679 Monica Dawn Ross Counselor 106 Lee St. Ne, Suite C, Decatur, AL 35601 2019-02-23
1497208250 Beronica Goodwin Home Health Aide 1102b Suite #2 4th Ave Se, Decatur, AL 35601 2016-07-28
1770957177 Xochitl Dupre Obstetrics & Gynecology 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 2015-11-23
1104224708 River City Psychiatry, Inc. Community/Behavioral Health 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 2014-12-12
1760882690 Derrick Aaron Randolph Registered Nurse 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 2014-08-28
1427465434 Martha Read Family Medicine 2208 Danville Rd Sw Ste A, Decatur, AL 35601 2014-07-22
1205242948 Pure Heart Home Care of Alabama, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 107 B 14th Street Sw, Decatur, AL 35601 2014-07-02
1720492242 Christopher John Phillips Emergency Medicine 1201 7th Street Se, Decatur, AL 35601 2014-06-12
1366794711 Complete Dental Decatur LLC Dentist 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 2012-10-10
1336408830 Mishanta Reyes Obstetrics & Gynecology 1215 7th St Se Fl 2, Decatur, AL 35601 2012-05-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134729965 Jamie Mclemore Nurse Practitioner 17619 Hwy 58 North, Decatur, TN 37322-3732 2020-10-30
1790383776 Angela Tope Adeleke Nurse Practitioner 3185 Georgian Woods Cir, Decatur, GA 30034-5105 2020-10-13
1417564147 Jigna Patel Nurse Practitioner 1963 Don Juan Ln, Decatur, GA 30032-4218 2020-09-27
1659983856 Emilie Carsell Mathias Nurse Practitioner 2208 N Crossing Way, Decatur, GA 30033-4175 2020-08-19
1275151078 Tiffanie Marshall Mcguire Nurse Practitioner 2042 Beltline Rd Sw Ste B101, Decatur, AL 35601-5571 2020-07-08
1922623610 Anastasiya A Drogoul Nurse Practitioner 2675 N Decatur Rd Ste 404, Decatur, GA 30033-6133 2020-06-09
1174156244 Anne Marie Strickland Nurse Practitioner 3109 Vicksburg Pl Sw, Decatur, AL 35603-3107 2020-02-18
1174161822 Allison Leanne Hall Nurse Practitioner 304 W Hay St Ste 312, Decatur, IL 62526-4170 2019-12-12
1396387866 Elizabeth Nichole Mathews Nurse Practitioner 2301 S Fm 51 Ste 100, Decatur, TX 76234-3864 2019-10-16
1861040479 Oladunni Funmi Faminu Nurse Practitioner 2701 N Decatur Rd # 2400, Decatur, GA 30033-5918 2019-08-27
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Competitor

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City DECATUR
Zip Code 35601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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