Individual Healthcare Provider
Samantha Wilson
Provider's NPPES record last updated: December 5, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1164081915
- Primary Specialty
- Nurse Practitioner — Women's Health
- Practice Location
- Fairfax, Virginia
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:25 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Women's Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LW0102X
Provider-Reported License Information
- Nurse Practitioner (Virginia)
- 0024177383
- Nurse Practitioner (District of Columbia)
- RN1021762
Practice Locations
Practice Location
10521 Rosehaven St Ste Ll100
Fairfax, Virginia 22030-2877
Phone: (703) 281-5000
Additional Practice Location
407 N Washington St Ste 105
Falls Church, Virginia 22046-3436
Phone: (202) 331-0770
Additional Practice Location
5550 Friendship Blvd Ste 210
Chevy Chase, Maryland 20815-7201
Phone: (301) 654-5701
Additional Practice Location
1133 21st St Nw Ste 200
Washington, District of Columbia 20036-3324
Phone: (202) 331-1740
Record Information
- Enumeration Date
- June 6, 2019
- Provider's NPPES Record Last Updated
- December 5, 2023
- Certification Date
- December 5, 2023
- NPISignal NPPES Dataset
- August 2026
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