SAMANTHA WADDELL (NPI# 1538773783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538773783 |
| Entity Type | Individual |
| Full Name | SAMANTHA WADDELL |
| Practice Address |
3378 Mariner Blvd Spring Hill FL 34609-2460 |
| Practice Telephone | 3527967171 |
| Mailing Telephone | 3527967171 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11009125 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3378 MARINER BLVD |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34609-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679641039 | Gaurav Vijai Malhotra | Internal Medicine | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2006-12-01 |
| 1659838597 | Moises B Tuckler | Physician Assistant | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2019-02-27 |
| 1942557848 | Absolute Healthcare LLC | Internal Medicine | 3378 Mariner Blvd, Spring Hill, FL 34609-2460 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741970 | Tiffany Dawn Westbrook | Nurse Practitioner | 225 Mariner, Spring Hill, FL 34609 | 2020-02-09 |
| 1215450515 | Jessica Deprimo | Occupational Therapy Assistant | 224-236 Mariner Blvd, Spring Hill, FL 34609 | 2017-07-19 |
| 1760911259 | Sunset Family Inc. | Home Health | 4058 Puffer Trce, Spring Hill, FL 34609 | 2017-06-08 |
| 1073943213 | Isidora Alf, Inc | Assisted Living Facility | 3467 Everett Ave, Spring Hill, FL 34609 | 2013-11-26 |
| 1144667494 | Desiree Gagne | Occupational Therapist | 11216 Spring Hill Dr, Spring Hill, FL 34609 | 2013-05-28 |
| 1659635274 | Miyosia Plummer | Counselor | 7074 Grove Road, Brooksville, FL 34609 | 2012-06-28 |
| 1790074623 | Colleen Landry | Occupational Therapy Assistant | 14075 Cooper Rd, Spring Hill, FL 34609 | 2011-03-31 |
| 1639489438 | Anoop Karanth | Pharmacist | 13303 Haverhill Drive, Springhill, FL 34609 | 2010-10-14 |
| 1619283587 | Spring Hill Primary Care LLC | Internal Medicine | 34 Seven Hills Dr, Spring Hill, FL 34609 | 2010-08-30 |
| 1831330547 | Theresa M. Meloche, A.r.n.p. & Associates, Pllc | Nurse Practitioner | 4120 Charmwood Ave., Spring Hill, FL 34609 | 2009-03-10 |
| Find all providers in zip 34609 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473958 | Tamara L Walker | Nurse Practitioner | 12084 Rockford St, Spring Hill, FL 34608-2153 | 2020-10-08 |
| 1942858840 | Marci Montague | Nurse Practitioner | 4304 Canongate Ct, Spring Hill, FL 34609-0498 | 2019-09-04 |
| 1861052953 | Kristin N Esenwein | Nurse Practitioner | 11298 Orangewood Ct, Spring Hill, FL 34609-9138 | 2019-06-19 |
| 1821584327 | Barbara Jean Giles | Nurse Practitioner | 11357 Silverwood Ct, Spring Hill, FL 34609-9154 | 2018-07-08 |
| 1043718521 | Jillian Audreya Fawn Stuper | Nurse Practitioner | 21705 Bowman Rd, Spring Hill, FL 34610 | 2018-01-30 |
| 1023568748 | Michelle Annette Perez | Nurse Practitioner | 6475 Sugar Tree Dr, Spring Hill, FL 34607-2517 | 2016-10-05 |
| 1700339181 | Enera Kupi | Nurse Practitioner | 11901 Linden Dr, Spring Hill, FL 34608-4946 | 2016-08-02 |
| 1629421623 | Justin Timothy Reed | Nurse Practitioner | 3001 Reserve Blvd Ste 200, Spring Hill, TN 37174-3101 | 2016-07-14 |
| 1578917225 | Masako Tidrow | Nurse Practitioner | 109 Dakota Dr, Spring Hill, TN 37174-6195 | 2016-04-19 |
| 1467806638 | Brenda Sanchez | Nurse Practitioner | 3098 Campbell Station Pkwy # A-201, Spring Hill, TN 37174-6270 | 2016-04-14 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34609 |
Please comment or provide details below to improve the information on SAMANTHA WADDELL.
| 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.