Active NPI
Samantha Jean-Baptiste
- Licensed Practical Nurse
- Central Islip, NY
National Provider Identifier
1114505492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 340276
- Practice address
- 9 Adams Rd
Central Islip, NY 11722-2201 - Phone
- (631) 348-0784
- NPI assigned
- Mar 30, 2021
- 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 | 340276 | NY | Primary |
Addresses
Primary practice location
9 Adams Rd
Central Islip, NY 11722-2201
Mailing address
500 Peconic St
Ronkonkoma, NY 11779-7100
Phone (929) 442-8137
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M3J468W02580 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Nursenotes | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1114505492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PECONIC ST",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797100",
"telephone_number": "929-442-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ADAMS RD",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222201",
"telephone_number": "631-348-0784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-BAPTISTE",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2021-03-30",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "340276",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M3J468W02580",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Nursenotes",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9 Adams Rd",
"city": "Central Islip",
"state": "NY",
"country_code": "US",
"postal_code": "117222201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.