Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578430948 Individual Practitioner Female Practitioner

Samantha Rosa Moore

Nurse Practitioner • Lutz, FL

Professional Overview & Biography Verified Profile Summary

Samantha Moore is a registered healthcare professional specializing in Nurse Practitioner in Lutz, FL. Practice services are available at 3505 WICKET FIELD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3505 Wicket Field Rd

Lutz, FL 335483403

Telephone 8138104860

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lutz, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.8 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Lutz, FL (8990 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11038308

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 21, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2025

Registered at 3505 WICKET FIELD RD, LUTZ, FL 335483403 (Tel: 8138104860)

📍
Updated Business Mailing Address October 21, 2025

Registered at 3505 WICKET FIELD RD, LUTZ, FL 335483403

👤
Provider Name / Credentials Updated October 21, 2025

Recorded as SAMANTHA MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2025

Nurse Practitioner (License #APRN11038308 in FL)

🟢
Initial NPI Registration & Enumeration October 21, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578430948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2025
Last Update: October 21, 2025
Sole Proprietor: No

Mailing Address

3505 Wicket Field Rd

Lutz, FL 335483403

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.