Individual provider Active NPI

Deborah Ann Sampson, APRN

  • Nurse Practitioner
  • Concord, NH
National Provider Identifier
1386774545
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
020421-23-03 Issued in NH
Practice address
60 Commerce St Suite 302
Concord Hospital Occupational Health
Concord, NH 03301-0000
Phone
(603) 230-1220
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 020421-23-03 NH Primary

Addresses

Primary practice location

60 Commerce St Suite 302
Concord Hospital Occupational Health
Concord, NH 03301-0000

Mailing address

60 Commerce St Suite 302
Concord Hospital Occupational Health
Concord, NH 03301-0000
Phone (603) 230-1220

Other identifiers 2

IdentifierTypeStateIssuer
NP458601OtherNHMEDICARE PTAN
30342961MedicaidNH

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1386774545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE ST SUITE 302",
            "address_2": "CONCORD HOSPITAL OCCUPATIONAL HEALTH",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033010000",
            "telephone_number": "603-230-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCE ST SUITE 302",
            "address_2": "CONCORD HOSPITAL OCCUPATIONAL HEALTH",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033010000",
            "telephone_number": "603-230-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "020421-23-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NP458601",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30342961",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.