NPIMap

Organization Active NPI

Sampson Specialty Services, Inc.

  • Pediatric Occupational Therapist
  • Kernersville, NC
National Provider Identifier
1881749471
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3990 Issued in NC
Legal business name
SAMPSON SPECIALTY SERVICES, INC.
Doing business as
Angela Sampson
Practice address
187 Vancouver CT
Kernersville, NC 27284-9256
Phone
(336) 996-4744
Fax
(336) 996-4745
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Angela SampsonNPI 1467633628
Title
Owner
Phone
(336) 996-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 3990 NC Primary

Addresses

Primary practice location

187 Vancouver CT
Kernersville, NC 27284-9256

Mailing address

187 Vancouver CT
Kernersville, NC 27284-9256
Phone (336) 996-4744

Other identifiers 3

IdentifierTypeStateIssuer
1217FOtherNCBCBS
7211296MedicaidNC
D0591OtherNCMEDCOST

Other names 1

  • Angela Sampson Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1881749471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 VANCOUVER CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849256",
            "telephone_number": "336-996-4744",
            "fax_number": "336-996-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 VANCOUVER CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849256",
            "telephone_number": "336-996-4744",
            "fax_number": "336-996-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON SPECIALTY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-996-4744",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "3990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1217F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211296",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D0591",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela Sampson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.