Individual provider Active NPI

William Samsky, RN

  • Registered Nurse
  • Phoenix, AZ
National Provider Identifier
1235680810
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9240518-3102 Issued in UT
Practice address
2030 W Baseline Rd
182-8063
Phoenix, AZ 85041-6574
Phone
(480) 452-8580
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60651090 WA
Registered Nurse 163W00000X 95101843 CA
Registered Nurse 163W00000X 9240518-3102 UT Primary
Registered Nurse 163W00000X 109502 AK

Addresses

Primary practice location

2030 W Baseline Rd
182-8063
Phoenix, AZ 85041-6574

Mailing address

2030 W Baseline Rd
182-8063
Phoenix, AZ 85041-6574
Phone (480) 452-8580

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
109502AKMDRegistered Nurse
95101843CAMDRegistered Nurse
9240518-3102UTMDRegistered Nurse
RN60651090WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1235680810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W BASELINE RD",
            "address_2": "182-8063",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416574",
            "telephone_number": "480-452-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 W BASELINE RD",
            "address_2": "182-8063",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416574",
            "telephone_number": "480-452-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSKY",
        "first_name": "WILLIAM",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60651090",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95101843",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "9240518-3102",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "109502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.