SAMANTHA WILSON NPI 1164081915

NPI Information

  • NPI: 1164081915
  • Provider Name: SAMANTHA WILSON
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10521 ROSEHAVEN ST STE LL100
    FAIRFAX, VA
    ZIP 22030
  • Phone: (703) 281-5000

Map and Directions

Get Directions

NPI Details

Samantha Wilson is a women's health nurse practitioner in Fairfax, VA with 8 years of experience. Samantha Wilson NPI is 1164081915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

10521 ROSEHAVEN ST STE LL100
FAIRFAX, VA
ZIP 22030-877
Phone: (703) 281-5000
Fax: (703) 255-0765

The NPI 1164081915 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 6/6/2019 and was last updated on 12/5/2023.

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
1363LW0102XNurse PractitionerWomen's HealthRN1021762DISTRICT OF COLUMBIANo
2363LW0102XNurse PractitionerWomen's Health0024177383VIRGINIAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI