Active NPI
Samara Bianca Spinella
- Student in an Organized Health Care Education/Training Program
- Kings Park, NY
National Provider Identifier
1457899254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 9758
- Practice address
- 15 Columbus Ave
Kings Park, NY 11754-4902 - Phone
- (631) 316-5035
- NPI assigned
- Feb 1, 2017
- Last updated
- Feb 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 9758 | NY | Primary |
| Personal Emergency Response Attendant | 146D00000X | 9785 | NY |
Addresses
Primary practice location
15 Columbus Ave
Kings Park, NY 11754-4902
Mailing address
15 Columbus Ave
Kings Park, NY 11754-4902
Phone (631) 316-5035
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9785 | NY | MD | Personal Emergency Response Attendant |
| 9758 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Anesthesia Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485907200000",
"number": "1457899254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 COLUMBUS AVE",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117544902",
"telephone_number": "631-316-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COLUMBUS AVE",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117544902",
"telephone_number": "631-316-5035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINELLA",
"first_name": "SAMARA",
"middle_name": "BIANCA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "9758",
"primary": true
},
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "NY",
"license": "9785",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.