SAMANTHA JEAN CRABB
NPI 1457059743
Student in an Organized Health Care Education/Training Program in Columbia, SC

Q: What is Samantha Crabb's NPI number?

The NPI number for Samantha Crabb is 1457059743. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Q: What is Samantha Crabb's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Crabb was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2023PECOS Enrolled

1601 GREENE ST, COLUMBIA, SC 29208(803) 777-7412 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Samantha Jean Crabb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA JEAN CRABB (NPI 1457059743) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1457059743

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA JEAN CRABB

Location Address1601 GREENE STColumbia, SC 29208-4001

Mailing Address1601 Greene StColumbia, SC 29208-4001

Phone(803) 777-7412

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 16, 2023

NPPES CertifiedFebruary 16, 2023

✔ NPI 1457059743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1601 GREENE ST, Columbia, SC 29208

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Jean Crabb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42714164

PECOS Enrollment IDI20250919003410

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERONDA QUILLER SMITH

Nurse Practitioner (Psychiatric/Mental Health)