Samantha Jane Smith · Samantha Jane Stajduhar · Advanced Practice Midwife

5730 Packard Ave Ste 500, Marysville, CA 95901-7119

Overview

Samantha Jane Smith is a Advanced Practice Midwife practicing in Marysville, California. The National Provider Identifier (NPI) is #1720478753, which was assigned on January 29, 2015, and the registration record was last updated on January 11, 2022. The practitioner's main practice location is at 5730 Packard Ave Ste 500, Marysville, CA 95901-7119; the contact telephone number is 5307493242, and the fax number is 5307493248. The primary taxonomy of Samantha Jane Smith is Advanced Practice Midwife (367A00000X).

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).

Provider Information

NPI 1720478753
Entity Type Individual
Provider Name MRS. SAMANTHA JANE SMITH
Other Name MISS SAMANTHA JANE STAJDUHAR
(Other Name)
Gender Female
Credential C.N.M.
Practice Address 5730 Packard Ave Ste 500
Marysville
CA 95901-7119
Practice Telephone 5307493242
Practice Fax Number 5307493248
Mailing Address 5730 Packard Ave Ste 500
Marysville
CA 95901-7119
Mailing Telephone 5307493432
Mailing Fax Number 5307493248
Enumeration Date 2015-01-29
Last Update Date 2022-01-11
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 1052639291
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SAMANTHA JANE SMITH I
Medical School GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Primary Specialty CERTIFIED NURSE MIDWIFE (CNM)
Organization Legal Name PERMANENTE MEDICAL GROUP INC
Address 7373 W Lane
Stockton
CA 95210-3377

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y367A00000XAdvanced Practice Midwife

Secondary Practice Locations

AddressTelephoneFax
3660 W Bethany Home Rd, Suite A, Phoenix, AZ 85019195360297332006027953714

Taxonomy Information

Primary Taxonomy

Code 367A00000X
Taxonomy Advanced Practice Midwife
Classification Advanced Practice Midwife
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, definition changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

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Kufre Ignatius Samuel 1061 Medical Center Dr Ste 102, Orange City, FL 32763-8225Advanced Practice Midwife2026-01-29
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Morgan King 59 Ornac Ste 1, Concord, MA 01742-3317Advanced Practice Midwife2026-01-12
Kailey Douglass Lemon 2951 Doctors Park Dr, Medford, OR 97504-8127Advanced Practice Midwife2026-01-14
Sacred Waters Midwifery, LLC 7262 N Cassie Ave, Milwaukee, WI 53224-3651Advanced Practice Midwife2026-02-02
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Katerina Moore 740 High St Ste 1004, Williamsport, PA 17701-3102Advanced Practice Midwife2026-01-13
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Location Information

Street Address 5730 PACKARD AVE STE 500
City MARYSVILLE
State CA
Zip Code 95901-7119
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Rashmi Tunuguntla 5730 Packard Ave Ste 500, Marysville, CA 95901-7119Pediatrics Physician2015-11-16
Russell Tyrone Heckburn 5730 Packard Ave Ste 500, Marysville, CA 95901-7119Family Medicine Physician2022-03-28
Peach Tree Healthcare 5730 Packard Ave Ste 500, Marysville, CA 95901-7119Non-emergency Medical Transport (VAN)2025-10-21

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Justin Rupert 1919 B St, Marysville, CA 95901-3731School Psychologist2025-09-03
Lauren Inouye 1919 B St, Marysville, CA 95901-3731School Psychologist2025-09-03
Jose Gonzalez 210 D Street, Suite R, Marysville, CA 95901Adult Companion2019-08-08
Kristie Keeney 1496-1498 North Beale Road, Marysville, CA 95901Addiction (Substance Use Disorder) Counselor2024-08-23
Lauren Heusser 1919 B St, Marysville, CA 95901-3731School Psychologist2025-08-20
Kaycee Lauren Mclaughlin 1919 B St, Marysville, CA 95901-3731School Psychologist2025-09-02
Nicole Disney Pitts 1919 B St, Marysville, CA 95901-3731School Psychologist2025-08-21
Penelope Rogers 1919 B St, Marysville, CA 95901-3731School Psychologist2025-09-02
Tanya Medina Hernandez 1919 B St, Marysville, CA 95901-3731Mental Health Counselor2024-06-03
Manning Walker 310 1/2 1st St, Marysville, CA 95901Counselor2019-04-01
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.