Kathleen L Sam, RNFA RN FIRST ASSIST

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

321739-1 Issued in NY

Practice address

155 Shepard Ave
Kenmore, NY 14217-1952

Phone

(716) 447-0204

NPI assigned

Dec 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480723200000",
    "number": "1023551454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SHEPARD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171952",
            "telephone_number": "716-447-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SHEPARD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171952",
            "telephone_number": "716-447-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "RNFA RN FIRST ASSIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "321739-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Sabuda
• Sadashiv S Shenoy MD PLLC
• Sadashiv S.Shenoy M.D.
• Christine Salada, MS OTR/L
• Anne L Saldanha, MD
• Suzan Marie Sarac
• Sasha Marinaccio Chiropractic PLLC
• Audrey Elizabeth Sawyer, OTD
• Dylan Sawyer
• Arianna Rose Scamurra, OTR/L

• Registered Nurse First Assistant in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Registered Nurse First Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.