Active NPI
Samantha Lee Musket, RMA
- Phlebotomy Technician
- Fredericktown, MO
National Provider Identifier
1255086286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- LC014350607
- Practice address
- 504 Saline St
Fredericktown, MO 63645-1554 - Phone
- (636) 649-8305
- NPI assigned
- Feb 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | LC014350607 | MO | Primary |
Addresses
Primary practice location
504 Saline St
Fredericktown, MO 63645-1554
Mailing address
504 Saline St
Fredericktown, MO 63645-1554
Phone (636) 649-8305
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 Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC014350607 | MO | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1255086286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 SALINE ST",
"city": "FREDERICKTOWN",
"state": "MO",
"postal_code": "636451554",
"telephone_number": "636-649-8305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 SALINE ST",
"city": "FREDERICKTOWN",
"state": "MO",
"postal_code": "636451554",
"telephone_number": "636-649-8305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSKET",
"first_name": "SAMANTHA",
"middle_name": "LEE",
"credential": "RMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "MO",
"license": "LC014350607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericktown, MO
- Abigail Louisa Meza, RD, LD
- Midwest Health Group Convenient Care, LLC (Midwest Convenient Care)
- Craig J. Millham, P.T.
- Modern Mental Health
- Sarah Pauline Mueller, PMHNP-BC
- N & R of Fredericktown, Inc. (ClaRu DeVille Nursing Center)
- Nra Fredericktown Missouri LLC (Fredericktown Dialysis Clinic)
- Patrick O'Hara
- Humberto Jose Olivero Lara, MD, MSPH
- Ozark Manor Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.