Taylor Danielle Samuelson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

33 Erskine LN
Scott Depot, WV 25560-7842

Phone

(304) 453-2800

Fax

(304) 453-2820

NPI assigned

Oct 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Taylor Danielle Carter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1629677752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CHESTNUT ST",
            "city": "KENOVA",
            "state": "WV",
            "postal_code": "255301235",
            "telephone_number": "304-453-2800",
            "fax_number": "304-453-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ERSKINE LN",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255607842",
            "telephone_number": "304-453-2800",
            "fax_number": "304-453-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "TAYLOR",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810024363",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "CARTER",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Allen Ross
• Jessica Yvonne Roth
• Laberta S Salamacha, MA LICENSED PSYCHOLO
• Rachel Sallade, MS, RD, LD
• Barbara A Samms
• Kathleen Lee Sayre, OTR/L
• Rebecca Heuer Schnatz, D.O.
• Emily Schulte
• Scott Depot Alf Operations LLC
• Monica Kay Seals

• Case Manager/Care Coordinator in Scott Depot, WV
• Providers in Scott Depot, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.