Individual provider Active NPI

Amy P Sampson, CCSH, RPSGT, RST

  • Sleep Disorder Diagnostic Clinic/Center
  • Albertville, AL
National Provider Identifier
1952901928
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
1961 Issued in AL
Practice address
11491 US Highway 431
Albertville, AL 35950-0136
Phone
(256) 894-6850
Fax
(256) 894-6851
NPI assigned
Oct 29, 2020
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 1961 AL Primary

Addresses

Primary practice location

11491 US Highway 431
Albertville, AL 35950-0136

Mailing address

152 Holly LN
Albertville, AL 35951-5810
Phone (256) 506-9914

Other practice location 1

2505 US Highway 431
Boaz, AL 35957-5908
Phone (256) 593-8310

Other practice location 2

8000 US Hwy 69
Guntersville, AL 35976
Phone (256) 571-8000

Other identifiers 1

IdentifierTypeStateIssuer
1961OtherALBOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ALBERTVILLE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1961ALMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen L Britt MD PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1952901928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 HOLLY LN",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359515810",
            "telephone_number": "256-506-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11491 US HIGHWAY 431",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500136",
            "telephone_number": "256-894-6850",
            "fax_number": "256-894-6851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359575908",
            "country_code": "US",
            "telephone_number": "256-593-8310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8000 US Hwy 69",
            "address_purpose": "LOCATION",
            "city": "Guntersville",
            "state": "AL",
            "postal_code": "35976",
            "country_code": "US",
            "telephone_number": "256-571-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "AMY",
        "middle_name": "P",
        "credential": "CCSH, RPSGT, RST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AL",
            "license": "1961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED POLYSOMNOGRAPHIC TECHNOLOGIST",
            "identifier": "1961",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ALBERTVILLE",
            "affiliation": "N",
            "address_1": "11491 US Highway 431",
            "city": "Albertville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359500136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.