Samantha Anderson
Individual provider Active NPI Registered Nurse · Mount Vernon, NY
NPI 1669860862 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1669860862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 691976 (NY)
- Practice address
- 9 W Prospect Ave
Suite 310
Mount Vernon, NY 10550-2018 - Phone
- (914) 699-0022
- Fax
- (914) 699-2154
- NPI assigned
- Dec 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 691976 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Home Health Care Inc | Past | Accepting new patients | |
| Absolute Home Health Care Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 691976 | NY | Yes |
Addresses
Primary practice location
9 W Prospect Ave
Suite 310
Mount Vernon, NY 10550-2018
Mailing address
113 Morris St
Apt 3
Yonkers, NY 10705-1887
Phone (347) 957-1840
Other providers in Mount Vernon, NY
- Amigo Taxi Car Service Corp.
- Victoria Nelly Amoama
- Nerea Akinyi Amondi
- Anabella Transportation LLC
- Anastasia Marie Anderson
- Andora Physical Therapy Services
- Ann-Marie Mais Nurse Practitioner in Family Health PLLC
- Cynthia Anti II
- Keisha Nadine Antoine-Jennings
- Nadia Shanna Antoine-Williams
All providers in Mount Vernon, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.