Samantha Vitale

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

315 Turnpike St
North Andover, MA 01845-5806

Phone

(203) 915-6552

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1811546773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MANOR DR",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102614",
            "telephone_number": "203-915-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455806",
            "telephone_number": "203-915-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victorias Estate Inc. (North Andover Behavioral Health)
• Gabrielle Rego Vieira
• Vijayakanthan Psychiatric Services, LLC
• Marina Ghayathrie Vijayakanthan, M.D.
• Virtue Psychiatry, PLLC
• Vitalmind Mental Health Services
• Bonnie Vousboukis, COTA/L
• Katherine S Vozeolas, RN
• VR Gokul Prakash, MD
• Mitchell J Wachtel, DPM

• Athletic Trainer in North Andover, MA
• Providers in North Andover, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.