Karen G Sampson, NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN075319 Issued in AZ

Practice address

633 E Ray Rd Ste 130
Gilbert, AZ 85296-4206

Phone

(480) 812-3680

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

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

Electronic endpoints 1

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1740905991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964206",
            "telephone_number": "480-812-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 130",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964206",
            "telephone_number": "480-812-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "KAREN",
        "middle_name": "G",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN075319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN075319",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "SANTANVAELLEY",
            "affiliation": "N",
            "endpointDescription": "HOMEHEALTHAGENCY",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "SANTANVALLEY",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "633 E Ray Rd Ste 130",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852964206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Michael Andrew Samuels, MD
• San Tan Allergy and Asthma PC
• San Tan Behavioral Health Services

• Registered Nurse in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.