NPI Registry.org

Samantha Grider

NPI Registration Record

Provider / OrganizationNPIDate Certified
SAMANTHA GRIDER10133035692024-09-06

Samantha C Grider [F] graduated in 2015 and primarily specializes in Nurse Practitioner.

Samantha Grider is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013303569. Registration indicates Samantha Grider is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

PECOS ID6709194475
RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider Name Samantha Grider
Practice Office Address2325 18TH ST STE 220
COLUMBUS, IN US
Practice Office Telephone8123765640
Mailing AddressPO BOX 775383
CHICAGO, IL 606775383 US
Business Telephone8123765315
Contact Endpoints
Direct address [Direct address][email protected]Direct
HPT Codes
CodePractice
License No
State
363LF0000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Family

All Other Specialties & Provider Types

Nurse Practitioner Family
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
28198183A
IN
OPI Codes
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