Samantha Danielle Owens

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

115 Bradford PL
Belleville, IL 62221-5863

Phone

(618) 567-8178

NPI assigned

Aug 9, 2025

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

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

{
    "created_epoch": "1754697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1124903075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRADFORD PL",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215863",
            "telephone_number": "618-567-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRADFORD PL",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215863",
            "telephone_number": "618-567-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "SAMANTHA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic and Sports Medicine Physicians, LTD
• Olufemi Edward Osikoya, MD
• Krystal Marie Oswald, BCBA, LSW
• Joy Overman, OT
• Janna Marie Owens, M.A., CCC-SLP
• Oxycare Medical Supply Company
• Rhonda G Ozanian, PH.D.
• Tracy Pacini
• Kelly Page, PA
• Vasantha P Pai, M.D

• Community Health Worker in Belleville, IL
• Providers in Belleville, IL by specialty
• Community Health Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.