ATHENA THEODORA SAMARAS


Address: 1046 E Wendover Ave, Greensboro, NC 27405-6712
Phone: 3362721050

ATHENA THEODORA SAMARAS (NPI# 1881148542) 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) 1881148542
Entity Type Individual
Full Name ATHENA THEODORA SAMARAS
Credential PPCNP-BC
Practice Address 1046 E Wendover Ave
Greensboro
NC 27405-6712
Practice Telephone 3362721050
Mailing Telephone 3362721050
Enumeration Date 2016-08-11
Last Update Date 2016-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
5008790 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC NC APPROVAL TO PRACTICE 5008790 01

Office Location

Street Address 1046 E WENDOVER AVE
City GREENSBORO
State NC
Zip Code 27405-6712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417951864 Marian Earls Pediatrics 1046 E Wendover Ave, Greensboro, NC 27405-6712 2005-06-13
1871117135 Max Wilmot Pediatrics 1046 E Wendover Ave, Greensboro, NC 27405-6712 2020-06-02
1194283325 Lauren Leeanne Poleto Registered Nurse 1046 E Wendover Ave, Greensboro, NC 27405-6712 2019-03-06
1548679749 Triad Adult and Pediatric Med-gch Wendover Pharmacy Pharmacy 1046 E Wendover Ave, Greensboro, NC 27405-6712 2014-08-13
1235483785 Triad Adult and Pediatric Medicine Inc Pharmacy 1046 E Wendover Ave, Greensboro, NC 27405-6712 2012-11-06
1992058531 Sharon Elizabeth Dempsey Social Worker 1046 E Wendover Ave, Greensboro, NC 27405-6712 2012-10-19
1437412863 Channel Dion Dobson Registered Nurse 1046 E Wendover Ave, Greensboro, NC 27405-6712 2012-06-20
1386921476 Jasmine Williams Social Worker 1046 E Wendover Ave, Greensboro, NC 27405-6712 2011-11-03
1538453055 Amy Hallisey Pharmacist 1046 E Wendover Ave, Greensboro, NC 27405-6712 2011-06-01
1528386166 Laura Constance Smith Dietitian, Registered 1046 E Wendover Ave, Greensboro, NC 27405-6712 2010-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477038727 Miya Jackson Behavior Technician 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 2018-10-02
1821576299 Woodrow Eric Bradley Day Training/Habilitation Specialist 1403 Woocbriar Ave, Greensboro, NC 27405 2018-07-30
1922593094 Constance Foushee Nurse Practitioner 1100 E. Wendover, Greensboro, NC 27405 2018-06-29
1760972434 Ayana Linette Holland Home Health Aide 1417 Old Hickory Dr, Greensboro, NC 27405 2018-05-17
1790294700 G. Antoine Gray Specialist 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 2017-09-21
1306375910 Wendy Carisa Boger Registered Nurse 1100 East Wendover Avenue, Greensboro, NC 27405 2017-06-07
1659827715 Changing Paths Counseling Center Pllc Community/Behavioral Health 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 2016-08-29
1295187896 Amanda Kirby Counseling, PC Counselor 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 2016-07-07
1780049429 Pta Residential Treatment Facility, Physical Disabilities 1900 Sheldon Road, Greensboro, NC 27405 2015-12-23
1841655644 Amaya Nicole Hardy Counselor 1600r E Wendover Ave Ste R, Greensboro, NC 27405 2015-12-21
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548814072 Ashley Goodwin Friddle Nurse Practitioner 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 2019-08-01
1972671394 Gretchen Netherton Nurse Practitioner 400 E Commerce Street, Greensboro, NC 27260-5221 2006-12-01
1265474639 Edna Rosellen Dedlow Nurse Practitioner 719 Green Valley Rd Ste 306, Developmental and Psychological Center, Greensboro, NC 27408-7026 2006-06-12
1447255542 Genevieve D. Mack Nurse Practitioner 510 N Elam Ave, Greensboro Pediatricians, Inc., Greensboro, NC 27403-1150 2005-06-15
1255931655 Taylor Houk Nurse Practitioner 1121 N Church St, Greensboro, NC 27401 2020-10-27
1003395948 Kaila Haskins Nurse Practitioner 1200 N Elm St, Greensboro, NC 27401 2018-08-11
1528508793 Mallory Patterson Nurse Practitioner 510 N Elam Ave Ste 202, Greensboro, NC 27403-1177 2017-03-07
1457897175 Jennifer Lauren Rafeek Nurse Practitioner 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 2017-01-19
1578956546 Lynn Klett Nurse Practitioner 719 Green Valley Rd, Suite 209, Greensboro, NC 27408-7014 2015-03-13
1366798001 Tammy Schnople Schaub Nurse Practitioner 433 W Meadowview Rd, Greensboro, NC 27406-4316 2012-07-31
Find all providers in GREENSBORO

Competitor

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City GREENSBORO
Zip Code 27405

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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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