Active NPI
Samantha Descheneaux
- Psychiatric/Mental Health Registered Nurse
- Dracut, MA
National Provider Identifier
1972969509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 95080664
- Practice address
- 15 Pinetree LN
Dracut, MA 01826-1666 - Phone
- (978) 902-8083
- NPI assigned
- Jan 12, 2016
- Last updated
- Jan 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95080664 | CA | Primary |
| Rehabilitation Registered Nurse | 163WR0400X | 95080664 | CA |
Addresses
Primary practice location
15 Pinetree LN
Dracut, MA 01826-1666
Mailing address
15 Pinetree LN
Dracut, MA 01826-1666
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95080664 | CA | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1972969509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PINETREE LN",
"city": "DRACUT",
"state": "MA",
"postal_code": "018261666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PINETREE LN",
"city": "DRACUT",
"state": "MA",
"postal_code": "018261666",
"telephone_number": "978-902-8083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCHENEAUX",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95080664",
"primary": true
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "CA",
"license": "95080664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dracut, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.