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SAMUELA AMARA FERNANDES
NPI 1770163610
Student in an Organized Health Care Education/Training Program in Durham, NC

Active since April 14, 2021PECOS Enrolled
3000 ERWIN RD, DURHAM, NC 27705(919) 684-6669 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 20, 2025, Apr 14, 2021 (2 updates tracked since 2021).

About Samuela Amara Fernandes NPPES

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

SAMUELA AMARA FERNANDES (NPI 1770163610) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770163610
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMUELA AMARA FERNANDES
Location Address3000 ERWIN RDDurham, NC 27705-4504
Mailing Address3000 Erwin RdDurham, NC 27705-4504
Phone(919) 684-6669
Sole ProprietorNo
Enumeration DateApril 14, 2021
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1770163610 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.
3000 ERWIN RD, Durham, NC 27705
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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)

Samuela Amara Fernandes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MS. SANDRA THERESA HARRIS-HOLLOWAY CCP
Perfusionist
3000 ERWIN RD
DURHAM, NC 27705
Durham County (919) 681-0250
ROBIN SHEILA MUNSEY OTD, OTR/L
Occupational Therapist (Neurorehabilitation)
3000 ERWIN RD
DURHAM, NC 27705
Durham County (919) 668-3988
ALEC CARY PALERMO PT, DPT
Physical Therapist
3000 ERWIN RD
DURHAM, NC 27705
Durham County (919) 681-6815
AMANDA LEWIS CPNP-PC
Nurse Practitioner (Pediatrics)
3000 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-2605
LAUREN ELIZABETH BAUER PT, DPT
Physical Therapist
3000 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-6669
ADAM DEPRIMO MS, OTR/L
Occupational Therapist
3000 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-5147
ANNA PAPADOPOULOS DPT
Physical Therapist
3000 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-6669
SARAH GRACE KEMPS OTD, OTR/L
Occupational Therapist (Pediatrics)
3000 ERWIN RD
DURHAM, NC 27705
Durham County (919) 684-6669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuela Fernandes's NPI number?

The NPI number for Samuela Fernandes is 1770163610. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Samuela Fernandes located?

Samuela Fernandes practices at 3000 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-6669.

What is Samuela Fernandes's specialty?

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

Is Samuela Fernandes enrolled in Medicare?

Yes. Samuela Fernandes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuela Fernandes was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.