Individual provider Active NPI

Deborah Sams, RN, PHN, PNP

  • Case Management Registered Nurse
  • Martinez, CA
National Provider Identifier
1437332889
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
266584 Issued in CA
Practice address
597 Center Ave
200A
Martinez, CA 94553-4640
Phone
(925) 313-6615
Fax
(925) 313-6465
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 266584 CA Primary

Addresses

Primary practice location

597 Center Ave
200A
Martinez, CA 94553-4640

Mailing address

440 Bridge Rd
Walnut Creek, CA 94595-1325
Phone (925) 313-6615

Other names 1

  • Deborah Sams-Usatin Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
266584CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1437332889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BRIDGE RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951325",
            "telephone_number": "925-313-6615",
            "fax_number": "925-313-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 CENTER AVE",
            "address_2": "200A",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534640",
            "telephone_number": "925-313-6615",
            "fax_number": "925-313-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "DEBORAH",
        "credential": "RN, PHN, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "266584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "SAMS-USATIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.