Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Diane Daugherty, FNP

Individual provider Medical-Surgical Registered Nurse · NPI 1184227068

Samantha Diane Daugherty, FNP is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2020, 6 years ago. Practices with Sanford Medical Center, a 842-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, North Dakota and South Dakota.

Years since qualifying
6
Licensed in
CA, ND, SD
In the registry since
2020
Specialties on file
4
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 N Broadway, Fargo, ND 58102 — (701) 234-2000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R49889 (ND)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 95063542 (CA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence R042508 (SD)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R49889 (ND)

Record details

NPI number1184227068
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 21, 2020
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sanford Medical Center — 842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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