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

Samantha Martin

Individual provider Family Nurse Practitioner · NPI 1699384628

Samantha Martin is a Nurse Practitioner in Deridder, Louisiana. Qualified in 2020, 6 years ago. Practices with Beauregard Family Medical Center, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
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Practice location Address checks out

501 S Pine St
Deridder, LA 70634-4939
Phone: (337) 463-9890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 214147 (LA)

Record details

NPI number1699384628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2020
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address501 S Pine St, Deridder, LA 70634-4939

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 Beauregard Family Medical Center, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Deridder