Samantha Rose Gillis

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2302354 Issued in MA

Practice address

8 Emerson Rd
Winthrop, MA 02152-2315

Phone

(617) 943-5408

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1326526740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EMERSON RD",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522315",
            "telephone_number": "617-943-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EMERSON RD",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522315",
            "telephone_number": "617-943-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIS",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2302354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick Garibaldi, DPM
• Bianca Genualdo, LMHC, M.ED.
• Melda Nil Gerow, O.D.
• Michelle Giammanco
• Diandra Gillis
• Ann Goldberg, D.C.
• Megan Marie Gomes, RN
• Jordan Griffiths
• Laverne D Gugino, MD
• Aditi Gupta

• Registered Nurse in Winthrop, MA
• Providers in Winthrop, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.