Active NPI
Norman Sampley, LPN
- Licensed Practical Nurse
- Cookeville, TN
National Provider Identifier
1700160942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 43407
- Practice address
- 1101 Neal St
Cookeville, TN 38501-0901 - Phone
- (931) 528-8593
- Fax
- (931) 528-8214
- NPI assigned
- Oct 6, 2011
- Last updated
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 43407 | TN | Primary |
Addresses
Primary practice location
1101 Neal St
Cookeville, TN 38501-0901
Mailing address
104 Alpha Dr
Monterey, TN 38574-1520
Phone (931) 839-2788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43407 | Other | TN | LPN LICENSE |
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 |
|---|---|---|---|
| 43407 | TN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1700160942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ALPHA DR",
"city": "MONTEREY",
"state": "TN",
"postal_code": "385741520",
"telephone_number": "931-839-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 NEAL ST",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385010901",
"telephone_number": "931-528-8593",
"fax_number": "931-528-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLEY",
"first_name": "NORMAN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "43407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN LICENSE",
"identifier": "43407",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
- Sunanda Sadanandan, D.O.
- Subha Saeed, M.D
- Aji Haddy Sahor, FNP-C
- Saint Thomas River Park Hospital, LLC (Ascension Medical Group Saint Thomas Cookeville Primary Care)
- Sam's East, Inc (Sam's Club Vision Center 30-4930)
- Sams East Inc (Sams Pharmacy 10-4930)
- Brian Samuel, MD
- Pamela J Sanders, M.D.
- Marissa Sandidge, DMD
- Evan Sanford, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.