Active NPI
Samantha Perrin
- Licensed Practical Nurse
- Orlando, FL
National Provider Identifier
1285208454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN99845
- Practice address
- 450 S Orange Ave FL 3
Orlando, FL 32801-3394 - Phone
- (407) 930-9551
- Fax
- (407) 604-6698
- NPI assigned
- May 13, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Licensed Practical Nurse | 164W00000X | LN99845 | MA | Primary |
Addresses
Primary practice location
450 S Orange Ave FL 3
Orlando, FL 32801-3394
Mailing address
269 Union St
Lynn, MA 01901-1314
Phone (781) 581-3900
Other practice location 1
269 Union St
Lynn, MA 01901-1314
Phone (781) 581-3900
Other practice location 2
175 Broadhollow Rd
Melville, NY 11747-4911
Phone (412) 719-8748
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 |
|---|---|---|---|
| LN99845 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1285208454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 UNION ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "781-581-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S ORANGE AVE FL 3",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328013394",
"telephone_number": "407-930-9551",
"fax_number": "407-604-6698"
}
],
"practiceLocations": [
{
"address_1": "269 Union St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019011314",
"country_code": "US",
"telephone_number": "781-581-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Broadhollow Rd",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117474911",
"country_code": "US",
"telephone_number": "412-719-8748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRIN",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN99845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.