Virginia Kaye Samuel, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1561 Issued in SC

Practice address

2757 Laurel St
Suite 4
Columbia, SC 29204-2037

Phone

(803) 252-4966

Fax

(803) 252-1984

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1013931799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 LAUREL ST",
            "address_2": "SUITE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042037",
            "telephone_number": "803-252-4966",
            "fax_number": "803-252-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LAUREL ST",
            "address_2": "SUITE 4",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042037",
            "telephone_number": "803-252-4966",
            "fax_number": "803-252-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "VIRGINIA",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "SC",
            "license": "1561",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3722",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1561",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Chiropractic PA
• Laquesta Samuel
• Latoya Samuel, HLPC, RC, RCI
• Odell Samuel Jr.
• Rodney Jamil Samuel, PHARMD
• Christa Samuels, MS, NCC, LPC
• India Samuels, RBT
• Kadesjah Samuels
• Keimya Samuels, RBT
• Kamla Devi Sanasi-Bhola, M.D.

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.