Active NPI
Gia Samuel
- Registered Nurse
- Philadelphia, PA
National Provider Identifier
1215316591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN782298
- Practice address
- 6217 Gardenia St
Philadelphia, PA 19144-1608 - Phone
- (484) 903-5896
- NPI assigned
- May 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 321856-1 | NY | |
| Registered Nurse | 163W00000X | RN782298 | PA | Primary |
Addresses
Primary practice location
6217 Gardenia St
Philadelphia, PA 19144-1608
Mailing address
13305 228TH St
Laurelton, NY 11413-1746
Phone (718) 527-1805
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN782298 | PA | MD | Registered Nurse |
| 321856-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1215316591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13305 228TH ST",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114131746",
"telephone_number": "718-527-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6217 GARDENIA ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191441608",
"telephone_number": "484-903-5896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "GIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "321856-1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN782298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.