SAMANTHA DEWITT (NPI# 1134674807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134674807 |
| Entity Type | Individual |
| Full Name | SAMANTHA DEWITT |
| Other Name | SAMANTHA KAENZIG |
| Credential | NP |
| Practice Address |
217 S 3rd St Danville KY 40422-1823 |
| Mailing Address |
1431 Centerpoint Blvd Suite 100 Knoxville TN 37932-1984 |
| Practice Telephone | 8592391000 |
| Mailing Telephone | 8656931000 |
| Mailing Fax Number | 8652935375 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3010662 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3010662 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609283183 | Samantha Dewitt | Specialist | 2545 Sheridan Dr, Tonawanda, NY 14150-9478 | 2014-07-17 |
| Street Address |
217 S 3RD ST |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219835 | Joan Barker Haltom | Pharmacist | 217 S 3rd St, Pharmacy, Danville, KY 40422-1823 | 2005-07-14 |
| 1841801784 | Empact Midwest LLC | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2020-08-13 |
| 1548880206 | Hillary Hutchison | Registered Nurse | 217 S 3rd St, Danville, KY 40422-1823 | 2020-04-23 |
| 1346884095 | Jennifer L Devine | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2019-11-05 |
| 1205309390 | Cortney Renee Conklin | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2019-01-10 |
| 1659841088 | Andrea Michelle Tompkins | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2018-11-28 |
| 1376026252 | Michael Kyle Allen | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2018-09-07 |
| 1366938441 | Jordan Brittany Crutchfield | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2018-07-02 |
| 1780191031 | Hendra Yosia Sitompul | Nurse Anesthetist, Certified Registered | 217 S 3rd St, Danville, KY 40422-1823 | 2018-01-09 |
| 1023546942 | Beth Ann Burchett | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1356958565 | Kenneth Neal Hawker Jr. | Nurse Practitioner | 136 Capri Ct, Danville, VA 24541-5116 | 2020-09-30 |
| 1134752546 | Jeanette Marie Hay | Nurse Practitioner | 7 Manor Dr Ste B, Danville, IN 46122-9402 | 2020-02-14 |
| 1194297853 | Maurice Roberts | Nurse Practitioner | Godocs LLC, 949 Piney Forest Road, Danville, VA 24540-1591 | 2018-12-19 |
| 1811465461 | Amelia Brown | Nurse Practitioner | 101 Citation Dr Ste C, Danville, KY 40422-9227 | 2018-11-12 |
| 1326529827 | Danville Medical Specialty | Nurse Practitioner | 504 Tenikat St, Danville, KY 40422-1751 | 2018-08-23 |
| 1528548328 | Abby Young | Nurse Practitioner | Danville Health Center, 26 Cedar Ln, Danville, VT 05828-0185 | 2018-08-21 |
| 1730668377 | Kristen Chilton Grabowski | Nurse Practitioner | 125 Executive Dr Ste J, Danville, VA 24541-4155 | 2018-08-13 |
| 1447761952 | April Yeatts Giles | Nurse Practitioner | 404 Airport Dr Ste A, Danville, VA 24540-5196 | 2017-10-24 |
| 1467970715 | Amelia Nicole Stevens I | Nurse Practitioner | 478 Whirlaway Dr Ste 200, Danville, KY 40422-9037 | 2017-09-07 |
| Find all providers in DANVILLE | ||||
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| 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.