SAMANTHA HALL (NPI# 1750926069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750926069 |
| Entity Type | Individual |
| Full Name | SAMANTHA HALL |
| Practice Address |
1880 Quiet Cv Fayetteville NC 28304-3857 |
| Mailing Address |
Po Box 87388 Fayetteville NC 28304-7388 |
| Practice Telephone | 9103232477 |
| Practice Fax Number | 9103235931 |
| Mailing Telephone | 9103232477 |
| Mailing Fax Number | 9103235931 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5012520 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875016 | Samantha Jo Hall | Technician | 318 Maylawn Ave, Wadsworth, OH 44281-1264 | 2020-09-11 |
| 1366082430 | Samantha Hall | Massage Therapist | 9777 S Yosemite St Ste 110, Lone Tree, CO 80124-3115 | 2020-01-07 |
| 1417303876 | Samantha J Hall | Speech-Language Pathologist | 4912 Walnut St, Omaha, NE 68106-2456 | 2016-05-04 |
| 1346603750 | Samantha Hall | Behavioral Analyst | 908 Roosevelt Rd Ste K, Valparaiso, IN 46383-4376 | 2016-04-02 |
| 1700277829 | Samantha Hall | Student in an Organized Health Care Education/Training Program | Rr 1 Box 7720, Camargo, OK 73835-9728 | 2015-02-11 |
| 1700166485 | Samantha Hall | Counselor | 20275 Honeysuckle Dr, Elkhorn, NE 68022-3962 | 2011-08-25 |
| 1184237133 | Samantha Sharee Hall | Behavior Technician | 4624 Park St, Jacksonville, FL 32205-7327 | 2020-08-28 |
| 1457975153 | Samantha Jean Hall | Physician Assistant | 6810 State Route 162 Ste 10, Maryville, IL 62062-8587 | 2020-05-29 |
| 1699319566 | Samantha Hall | Speech-Language Pathologist | 8348 Traford Ln Ste 200, Springfield, VA 22152-1650 | 2019-11-04 |
| 1235786674 | Samantha Milton Hall | Registered Nurse | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2019-08-21 |
| Street Address |
1880 QUIET CV |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306599 | Cape Fear Center for Digestive Diseases, Pa | Specialist | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2005-06-20 |
| 1013562982 | Rachel Catherine Kellomaki | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2019-08-07 |
| 1790211787 | Hannah Lisa Garehan | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2017-05-11 |
| 1376082040 | Lance William Harris | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2017-02-15 |
| 1609239672 | Laura Lanier | Nurse Practitioner | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2016-03-29 |
| 1437521838 | Tilani Nadeau | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2015-10-24 |
| 1659618791 | Staci Marie Pessetti | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2013-01-09 |
| 1104179720 | Lindsay B Tart | Nurse Practitioner | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2012-10-19 |
| 1639421027 | Meaghan E Eddy | Nurse Practitioner | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2012-10-09 |
| 1730417262 | Carmella Charmayne Marshall | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2009-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659798 | Derek Miles Anderson | Nurse Practitioner | 545 Woodward Dr, Fayetteville, GA 30215-7641 | 2020-08-11 |
| 1376167163 | Shatanya Monique Cook | Nurse Practitioner | 1233 Highway 54 W Ste 205, Fayetteville, GA 30214-4542 | 2020-06-08 |
| 1063058972 | Mardee L Baxley | Nurse Practitioner | 1991 Fordham Dr Ste 302, Fayetteville, NC 28304-3774 | 2019-11-26 |
| 1336781715 | Anna Brooks Maness Reed | Nurse Practitioner | 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 | 2019-10-17 |
| 1801362355 | Dawn Stone | Nurse Practitioner | 874 Lanier Ave W Ste 220, Fayetteville, GA 30214-7659 | 2018-10-22 |
| 1902385784 | Yasmin Mathlin | Nurse Practitioner | 641 Walker St, Fayetteville, NC 28311-1990 | 2018-08-12 |
| 1144731951 | Kelli Borland | Nurse Practitioner | 101 Yorktown Dr Ste 207, Fayetteville, GA 30214-1578 | 2017-10-19 |
| 1134639867 | Jeanne Marie Lythgoe | Nurse Practitioner | 2153 Valleygate Dr Ste 101, Fayetteville, NC 28304-3667 | 2017-10-09 |
| 1174048037 | Sharon Davinroy | Nurse Practitioner | 315 Sparrow Dr, Fayetteville, NC 28306-8227 | 2017-08-11 |
| 1609302868 | Rose M Graham | Nurse Practitioner | 1202 Walter Reed Road, Capefear Valley Associate, Fayetteville, NC 28304 | 2017-05-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.