Samantha Lea Santuccio, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

274579 Issued in CA

Practice address

1856 Blakeslee Ave
Arcata, CA 95521-5417

Phone

(530) 864-2825

NPI assigned

Sep 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1689009367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 BLAKESLEE AVENUE",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "95521",
            "telephone_number": "530-864-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 BLAKESLEE AVE",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215417",
            "telephone_number": "530-864-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTUCCIO",
        "first_name": "SAMANTHA",
        "middle_name": "LEA",
        "name_prefix": "Miss",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "274579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lianne Sanford, PHD
• Andrea Louise Sanger, LCSW
• Julie Lynn Santibanez
• Darlene Santner, P.T.
• Rachael Santsche
• Theresa H Sapunar, IMFT
• Anastassia Schectman
• Sarah Anne Scher, MD
• Katherine Schiff, PA-C
• Alexandra Schlosser

• All providers in Arcata, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.