SAMANTHA RENEE HARRIS (NPI# 1629581616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629581616 |
| Entity Type | Individual |
| Full Name | SAMANTHA RENEE HARRIS |
| Practice Address |
1324 Bernard St South Boston VA 24592-2612 |
| Practice Telephone | 4342223502 |
| Mailing Telephone | 4342223502 |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | T62226719 | VA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343820 | Samantha Harris | Counselor | 225 Sw Noel St, Lees Summit, MO 64063-2241 | 2020-07-20 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1184124695 | Samantha Elaine Harris | Licensed Vocational Nurse | 502 N Singletary St, Saint Jo, TX 76265-2137 | 2018-02-20 |
| 1700238599 | Samantha Harris | Technician, Other | 418 Whitelam St, Bad Axe, MI 48413-1294 | 2016-07-06 |
| 1487265211 | Samantha J Harris | Nurse Practitioner | 6700 Mercy Rd Ste 109, Omaha, NE 68106-2613 | 2020-08-14 |
| 1528527934 | Samantha Harris | Case Manager/Care Coordinator | 1085 Maple St, Farmington, MO 63640-1955 | 2019-03-15 |
| 1902377369 | Samantha Ann Harris | Social Worker | 900 8th Ave, Fort Worth, TX 76104-3902 | 2018-12-11 |
| 1336627355 | Samantha Rae Harris | Social Worker | 10101 Linn Station Rd Ste 600, Louisville, KY 40223-3818 | 2018-08-01 |
| 1346735040 | Samantha Harris | Physical Therapy Assistant | 8100 Palomas Ave Ne, Albuquerque, NM 87109-5264 | 2018-06-25 |
| 1144735929 | Samantha Robin Harris | Nurse Practitioner | 700 19th St S, Birmingham, AL 35233-1927 | 2017-12-03 |
| Street Address |
1324 BERNARD ST |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780208421 | Ronald Gene Sumpter | Driver | 3401 Old Halifax Rd Ste H, South Boston, VA 24592-4915 | 2020-05-28 |
| 1447610282 | Cornelius Brandon | Driver | 1726 Norwood Ave, South Boston, VA 24592-1732 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385375 | David Lee Rosenbaum | Driver | 127 Hemlock St, Marion, VA 24354-4403 | 2020-10-31 |
| 1902404627 | Kevin Mercer | Driver | 703 W 14th St, Front Royal, VA 22630-2915 | 2020-10-14 |
| 1417554288 | Kenneth Donnell Coles | Driver | 44 W Sherwood Ave, Hampton, VA 23663-1403 | 2020-10-05 |
| 1992302673 | Rodney Larmont Carter Sr. | Driver | 205 Maple Springs Dr, Axton, VA 24054-2303 | 2020-10-05 |
| 1487261921 | Chantrise N Ratliff | Driver | 553 Jessica Cir, Newport News, VA 23606-3761 | 2020-09-29 |
| 1285240523 | Burley Walter Ball Jr. | Driver | 4313 Buckingham Rd, Coeburn, VA 24230 | 2020-09-22 |
| 1639785918 | Randy Bell | Driver | 6113 W Stonepath Garden Dr, Chester, VA 23831-3730 | 2020-09-22 |
| 1700498300 | Lisa Foster | Driver | 9562 19th Bay St Apt A, Norfolk, VA 23518-6211 | 2020-08-17 |
| 1437769213 | Marvin L Harris | Driver | 29 Ridgewood Pkwy, Newport News, VA 23608-1918 | 2020-08-05 |
| 1003425422 | T'onna Logan Clary | Driver | 18029 Highway Fifty Eight, Boydton, VA 23917-2820 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
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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.