Active NPI
Brenda L Mello-Sampaio
- Licensed Practical Nurse
- Providence, RI
National Provider Identifier
1023838869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN08336
- Practice address
- 66 Pavilion Ave
Providence, RI 02905-1522 - Phone
- (401) 461-9110
- Fax
- (401) 461-9194
- NPI assigned
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN08336 | RI | Primary |
Addresses
Primary practice location
66 Pavilion Ave
Providence, RI 02905-1522
Mailing address
35 Maple Avenue
West Warwick, RI 02893
Phone (401) 996-2736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN08336 | RI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1023838869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MAPLE AVENUE",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "02893",
"telephone_number": "401-996-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 PAVILION AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029051522",
"telephone_number": "401-461-9110",
"fax_number": "401-461-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO-SAMPAIO",
"first_name": "BRENDA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "RI",
"license": "LPN08336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.