Samantha Daine Dam, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN66884 Issued in MA

Practice address

1 Mulberry PL
Brockton, MA 02302-2325

Phone

(774) 219-6981

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By 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

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1871064923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MULBERRY PL",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022325",
            "telephone_number": "774-219-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MULBERRY PL",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022325",
            "telephone_number": "774-219-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAM",
        "first_name": "SAMANTHA",
        "middle_name": "DAINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN66884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Mary Dalessio, MSW, LICSW
• Allison Daley, LICSW
• Lisa Marie Daley, LMHC
• Whitfield Perry Daley
• Maryellen Daly, LICSW
• Astrid Damas
• Erica Christine Damiano, COTA/L
• Ruinide Danger-Alexis, MA
• Gabriella Daniel
• Anna Daniels

• Licensed Practical Nurse in Brockton, MA
• Providers in Brockton, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.