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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5008790 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC APPROVAL TO PRACTICE | 5008790 | 01 |
| Street Address |
1046 E WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6712 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| 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 | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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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.