Active NPI
Nikki Sampson
- Home Health Aide
- Kinsey, AL
National Provider Identifier
1477097806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 589652103
- Practice address
- 65 Corvette Dr
Kinsey, AL 36303-7759 - Phone
- (334) 828-3359
- NPI assigned
- Dec 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 589652103 | AL | Primary |
| Homemaker | 376J00000X | AL | ||
| Nurse's Aide | 376K00000X | AL | ||
| Adult Companion | 372600000X | AL |
Addresses
Primary practice location
65 Corvette Dr
Kinsey, AL 36303-7759
Mailing address
65 Corvette Dr
Kinsey, AL 36303-7759
Phone (334) 828-3359
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 |
|---|---|---|---|
| 589652103 | AL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477097806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 CORVETTE DR",
"city": "KINSEY",
"state": "AL",
"postal_code": "363037759",
"telephone_number": "334-828-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 CORVETTE DR",
"city": "KINSEY",
"state": "AL",
"postal_code": "363037759",
"telephone_number": "334-828-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON",
"first_name": "NIKKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "AL",
"license": "589652103",
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "AL",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "AL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinsey, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.