Active NPI
Samantha Cora Nolan
- Surgical Physician Assistant
- Cambridge, MA
National Provider Identifier
1245977164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9298
- Practice address
- 216 Rindge Ave Apt 5
Cambridge, MA 02140-3200 - Phone
- (203) 727-0583
- NPI assigned
- May 13, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Care Clinical Nurse Specialist | 364SC2300X | PA9298 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Physician Assistant | 363AS0400X | PA9298 | MA | Primary |
Addresses
Primary practice location
216 Rindge Ave Apt 5
Cambridge, MA 02140-3200
Mailing address
216 Rindge Ave Apt 5
Cambridge, MA 02140-3200
Phone (203) 727-0583
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 |
|---|---|---|---|
| PA9298 | MA | MD | Chronic Care Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1245977164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 RINDGE AVE APT 5",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021403200",
"telephone_number": "203-727-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 RINDGE AVE APT 5",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021403200",
"telephone_number": "203-727-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "SAMANTHA",
"middle_name": "CORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SC2300X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Chronic Care",
"state": "MA",
"license": "PA9298",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MA",
"license": "PA9298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.