Individual provider Active NPI

Linda F Samson, PHD, RN, BC, NEA-BC

  • College Health Registered Nurse
  • Frankfort, IL
National Provider Identifier
1205001641
Registry record updated Oct 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
College Health Registered NurseTaxonomy code 163WC1400X
License
041-325067 Issued in IL
Practice address
20676 Francisca Way
Frankfort, IL 60423-3126
Phone
(708) 534-4389
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 041-325067 IL
College Health Registered Nurse 163WC1400X 041-325067 IL Primary
Maternal Newborn Registered Nurse 163WM0102X 041325067 IL

Addresses

Primary practice location

20676 Francisca Way
Frankfort, IL 60423-3126

Mailing address

20676 Francisca Way
Frankfort, IL 60423-3126
Phone (708) 534-4389

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
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-325067ILMDCollege Health Registered Nurse
041325067ILMDMaternal Newborn Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223683200000",
    "number": "1205001641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20676 FRANCISCA WAY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233126",
            "telephone_number": "708-534-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20676 FRANCISCA WAY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233126",
            "telephone_number": "708-534-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "LINDA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD, RN, BC, NEA-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IL",
            "license": "041-325067",
            "primary": false
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "IL",
            "license": "041-325067",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "IL",
            "license": "041325067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2008; 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.