Shawna M Samson, LPN

Key facts

NPI

1396429403

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

LN100214 (MA)

Practice address

15 S School St
Ashburnham, MA 01430-1656

Phone

(978) 350-3871

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2023.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1396429403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014300860",
            "telephone_number": "978-350-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S SCHOOL ST",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301656",
            "telephone_number": "978-350-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "SHAWNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN100214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburnham, MA

• Victoria Lynn Peterson, DMD
• Nichole Pinkham
• Makayla Marie Porter, PA-C
• Emilia Rainwalker, L.I.C.S.W.
• Christina Rosa, LMHC
• Charles Russell Smith Jr.
• Danielle Smith, BCBA
• Town of Ashburnham
• Michael Webb
• Jennifer Lee Wells, OTR/L

All providers in Ashburnham, MA · Licensed Practical Nurse in Massachusetts