Kathleen Ruth Samuel, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

195673-1 Issued in NY

Practice address

450 Montgomery St
Apt. 2
Brooklyn, NY 11225-3010

Phone

(718) 778-0770

NPI assigned

Feb 29, 2008

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

Other identifiers 1

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1386814721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 E 48TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343102",
            "telephone_number": "718-253-1042",
            "fax_number": "860-449-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MONTGOMERY ST",
            "address_2": "APT. 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253010",
            "telephone_number": "718-778-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "KATHLEEN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "195673-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01972509",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essa Adam Samuel, M.B.B.S.
• Esther Samuel
• Etty Samuel
• Gonna Samuel, MD
• Hazelann Samuel
• Krupa Ann Samuel, MD
• Lemmew R Samuel, PHD.
• Melissa Samuel, LMSW
• Nichole Monique Samuel, CNM
• Nirmala Samuel

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.