MS. SAMANTHA D SIXIEME ANP NPI 1134427644

NPI Information

NPI: 1134427644
Provider Name: MS. SAMANTHA D SIXIEME, ANP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2237 LOWES DR W STE A
CLARKSVILLE, TN
ZIP 37040
Phone: (931) 272-2446
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MS. Samantha D Sixieme, ANP is a family nurse practitioner in Clarksville, TN. MS. Samantha D Sixieme, ANP NPI is 1134427644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2237 LOWES DR W STE A
CLARKSVILLE, TN
ZIP 37040-891
Phone: (931) 272-2446
Fax: (855) 530-6144

The NPI 1134427644 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 5/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024171266	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	15242	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q049160	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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