Samantha Chang, RN, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F04250544 Issued in CA

Practice address

10 Happy Acres Dr
Shirley, NY 11967-3015

Phone

(631) 605-9006

NPI assigned

Nov 13, 2019

Last updated

Jul 14, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1821633868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HAPPY ACRES DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673015",
            "telephone_number": "631-605-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HAPPY ACRES DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673015",
            "telephone_number": "631-605-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "SAMANTHA",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F04250544",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NY",
            "license": "414605",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "760221",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Catania, LPN
• Viola Cause
• Sean Challenger
• Karen Chamberlain I, L,P,N,
• Sandra Ann Chaney, L.P.N
• Kayla Marie Chiaramonte I
• Donghun Choi
• June P Christian, LMHC
• Christopher Horsford PT PC
• Christian Ciarlo, PHARMD

• Family Nurse Practitioner in Shirley, NY
• Providers in Shirley, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.