DR. WANDA SEXTON SAMAKE DNP PMHNP FNP NPI 1063561876

NPI Information

NPI: 1063561876
Provider Name: DR. WANDA SEXTON SAMAKE, DNP, PMHNP, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
300 JOHN ST UNIT 5B
GREER, SC
ZIP 29651
Phone: (864) 990-5664
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DR. Wanda Sexton Samake, DNP, PMHNP, FNP is a psychiatric/mental health nurse practitioner in Greer, SC with 20 years of experience. DR. Wanda Sexton Samake, DNP, PMHNP, FNP NPI is 1063561876. 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:

300 JOHN ST UNIT 5B
GREER, SC
ZIP 29651-463
Phone: (864) 990-5664
Fax: (864) 990-5674

The NPI 1063561876 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 1/9/2007 and was last updated on 10/11/2023.

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	RN150441	GEORGIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2159	SOUTH CAROLINA	Yes
3	363LF0000X	Nurse Practitioner	Family	2159	SOUTH CAROLINA	No

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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