Active NPI
Ericka Samson, RN, ATC
- Registered Nurse
- Vacaville, CA
National Provider Identifier
1609356757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95340484
- Practice address
- 325 Beelard Dr
Vacaville, CA 95687-5809 - Phone
- (650) 773-2447
- NPI assigned
- Aug 17, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CA | ||
| Registered Nurse | 163W00000X | 95340484 | CA | Primary |
Addresses
Primary practice location
325 Beelard Dr
Vacaville, CA 95687-5809
Mailing address
325 Beelard Dr
Vacaville, CA 95687-5809
Phone (650) 773-2447
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95340484 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1609356757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 BEELARD DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875809",
"telephone_number": "650-773-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 BEELARD DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875809",
"telephone_number": "650-773-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "ERICKA",
"credential": "RN, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95340484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.