Samantha Joy Etscheid, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.501616 Issued in IL

Practice address

4423 N Ravenswood Ave
Chicago, IL 60640-5802

Phone

(773) 572-5400

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1194305391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N DEARBORN ST APT 3110",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544464",
            "telephone_number": "630-780-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 N RAVENSWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405802",
            "telephone_number": "773-572-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETSCHEID",
        "first_name": "SAMANTHA",
        "middle_name": "JOY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.501616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Etling, MS, CCC/SLP
• Sophia Grace Etling, MA
• Sodabeh Etminan, DMD
• Darwin Eton, MD
• Rebecca Etrenne, APN
• Rachel Elizabeth Etshokin
• Matthew Ettleson, MD
• Yasmeen Annie Ettrick, PHARMD
• Sarah Leah Etzman, M.S. CCC-SLP
• Tashika Eubankst

• Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.