Individual provider Active NPI

Samantha Lea Saufley, BSN

  • Registered Nurse
  • Ewa Beach, HI
National Provider Identifier
1134765902
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
91911 Issued in HI
Practice address
91-2045 Kaioli St Apt 2503
Ewa Beach, HI 96706-6158
Phone
(610) 999-4827
NPI assigned
Nov 26, 2019
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 91911 HI Primary

Addresses

Primary practice location

91-2045 Kaioli St Apt 2503
Ewa Beach, HI 96706-6158

Mailing address

91-2045 Kaioli St Apt 2503
Ewa Beach, HI 96706-6158
Phone (610) 999-4827

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
91911HIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1134765902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2045 KAIOLI ST APT 2503",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066158",
            "telephone_number": "610-999-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2045 KAIOLI ST APT 2503",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066158",
            "telephone_number": "610-999-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUFLEY",
        "first_name": "SAMANTHA",
        "middle_name": "LEA",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "91911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.