Nicole D Samuel, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT60189012 Issued in WA

Practice address

400 N Erie Hwy
Hamilton, OH 45011-4263

Phone

(513) 887-3710

Fax

(360) 425-1053

NPI assigned

Oct 29, 2010

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progress Center,Inc

  • Speech-Language Pathologist
  • Longview, WA
  • NPI 1497809636

  Specialist

  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1093015570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 AMAZON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452201148",
            "telephone_number": "815-822-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ERIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450114263",
            "telephone_number": "513-887-3710",
            "fax_number": "360-425-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "NICOLE",
        "middle_name": "D",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "274950",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "OT60189012",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andria M Salzano, PAC
• Brandi Sams, CDCA
• Francesca N Sams
• Joshua Sams
• Kristin Elaine Sams, PT
• Diego Sanchez
• Melissa Ann Sancrant, MED. CCC-SLP
• Erica M Sanders
• Shannon Sanders, APRN
• Julie Lyn Sandlin, LPN

• Specialist in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.