Samantha Dickens, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

114115 Issued in LA

Practice address

70458 Silas Thomas Rd
Pearl River, LA 70452-2460

Phone

(985) 707-3017

NPI assigned

Oct 20, 2009

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Northshore Surgical Assisting

  • Surgical Assistant
  • Pearl River, LA
  • NPI 1427592385
  NPD (past) Authorized official

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324771200000",
    "number": "1992031207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70458 SILAS THOMAS RD",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704522460",
            "telephone_number": "985-707-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70458 SILAS THOMAS RD",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704522460",
            "telephone_number": "985-707-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKENS",
        "first_name": "SAMANTHA",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2011-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "LA",
            "license": "114115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Cochran
• Emily Cognevich
• Morgan Crawford
• Brooke Darby, RN
• Jacqueline Davis
• Melanie Toups Doll
• John Philip Epling III, D.D.S
• Evans Enterprises Inc (Evans Drug Mart)
• Cecelia A. Glaviano, LCSW
• John Vincent Hall Jr., NP

• Surgical Assistant in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Surgical Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2011; 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.