Sparkle Chevon Sampson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L2-0011611 Issued in DE

Practice address

3106 Drummond PLZ
Newark, DE 19711-5745

Phone

(833) 886-2277

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bon Secours Medical Group Richmond Specialty Care LLC

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1477112225
  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1275286288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 NAAMANS RD",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 DRUMMOND PLZ",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115745",
            "telephone_number": "833-886-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "SPARKLE",
        "middle_name": "CHEVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DE",
            "license": "L2-0011611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L2-0011611",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ssampson@coraswellness.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3106 Drummond Plz",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197115745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Siamak Samii, MD
• Naomi Samimi-Sadeh, PH.D.
• John W Sammon, NP
• Madison Sampson, LMSW
• Passion Sampson
• Alison Marie Samsel, PHARMD
• Abiola Samuel, DO
• Schenevelyn Samuel
• Victoria Del Rocio Sanchez Guzman, MD
• Solymar Sanchez

• Licensed Practical Nurse in Newark, DE
• Providers in Newark, DE by specialty
• Licensed Practical Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.