Active NPI
Samantha Erin Casey
- Clinical Medical Laboratory
- Prescott Valley, AZ
National Provider Identifier
1154286185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Practice address
- 4680 N Glenrosa Cir
Prescott Valley, AZ 86314-7202 - Phone
- (928) 642-5430
- NPI assigned
- Dec 22, 2025
- Last updated
- Dec 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
4680 N Glenrosa Cir
Prescott Valley, AZ 86314-7202
Mailing address
4680 N Glenrosa Cir
Prescott Valley, AZ 86314-7202
Phone (928) 642-5430
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": "1766361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1154286185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4680 N GLENROSA CIR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863147202",
"telephone_number": "928-642-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 N GLENROSA CIR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863147202",
"telephone_number": "928-642-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "SAMANTHA",
"middle_name": "ERIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
- Stevie Jo Callaway
- Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C.
- Jacob Caravello, AU.D.
- Caring Residential Services, LLC
- Matthew Carsten, PHARM.D.
- Caitlyn Casperson, RN
- Donna Lee Castaneda, LISAC
- Anthony James Cecchini, MSN, RN, FNP
- Center for Orthopedic Research and Education LLC (Northern Arizona Orthopedics)
- Central Arizona Eye Clinic P.C. (Rummel optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.