MS. ELLEN E SAMPSON (NPI# 1023022662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023022662 |
Entity Type | Individual |
Full Name | MS. ELLEN E SAMPSON |
Credential | NP |
Practice Address |
1261 Furnace Brook Pkwy Suite 31 Quincy MA 02169 |
Mailing Address |
18 Preston Rd West Roxbury MA 02132-2815 |
Practice Telephone | 6174794545 |
Practice Fax Number | 6174794555 |
Mailing Telephone | 6173251054 |
Mailing Fax Number | 6174794555 |
Enumeration Date | 2006-07-28 |
Last Update Date | 2009-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
172153 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0708020 | 05 |
Street Address |
1261 FURNACE BROOK PKWY SUITE 31 |
City | QUINCY |
State | MA |
Zip Code | 02169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730180274 | Associated Eye Physicians & Surgeons Inc | Ophthalmology | 1261 Furnace Brook Pkwy, Suite 15, Quincy, MA 02169-4721 | 2005-08-09 |
1346753506 | Temple Family Dentistry Pllc | Dentist | 1261 Furnace Brook Pkwy, Quincy, MA 02169-4721 | 2017-11-09 |
1558806653 | James Hunter Kirby | Nurse Practitioner | 1261 Furnace Brook Pkwy, Ste 31, Quincy, MA 02169 | 2016-12-27 |
1235672262 | Laura Rusu | Nurse Practitioner | 1261 Furnace Brook Pkwy, Quincy, MA 02169-4721 | 2016-11-22 |
1093260705 | Patriot Elder Care | Clinic/Center | 1261 Furnace Brook Pkwy, Suite #21, Quincy, MA 02169-4721 | 2016-08-23 |
1710334750 | Zuhayr Hemady Md PC | Allergy & Immunology | 1261 Furnace Brook Pkwy, Suite 33, Quincy, MA 02169-4721 | 2016-05-19 |
1285035865 | Dr. Stella Bondar D.m.d.,p.c. | Dentist | 1261 Furnace Brook Pkwy, Ste 27, Quincy, MA 02169 | 2014-09-15 |
1598002974 | Erica Ann Malinowski-french | Counselor | 1261 Furnace Brook Pkwy, Quincy, MA 02169-4721 | 2013-01-06 |
1902166697 | Sonya Garba | Nurse Practitioner | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4721 | 2012-05-29 |
1821356205 | John T Cahill | Social Worker | 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169-4721 | 2012-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
Find all providers in zip 02169 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396154019 | Jennifer Troup | Nurse Practitioner | 11 Riverbank Rd, Quincy, MA 02169-3326 | 2014-08-06 |
1285273144 | Dana R. Knox | Nurse Practitioner | 4409 Maine St, Quincy, IL 62305-5849 | 2019-12-24 |
1285296632 | Taixiang Saur | Nurse Practitioner | 500 Victory Rd, Quincy, MA 02171-3139 | 2019-07-06 |
1588186928 | Matthew Scott Walker | Nurse Practitioner | 639 York St Rm 212, Quincy, IL 62301-3919 | 2017-07-07 |
1235672262 | Laura Rusu | Nurse Practitioner | 1261 Furnace Brook Pkwy, Quincy, MA 02169-4721 | 2016-11-22 |
1215481247 | Rochell Sharpe | Nurse Practitioner | 927 Broadway St, Quincy, IL 62301-2719 | 2016-08-08 |
1003291121 | Meghan Blair | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2015-07-30 |
1457747826 | Troup Behavioral Health, LLC | Nurse Practitioner | 11 Riverbank Rd, Quincy, MA 02169-3326 | 2015-04-12 |
1720499536 | Dinna Khoy | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2014-05-14 |
1477837409 | Judith A Austin | Nurse Practitioner | 1 Moon Island Rd, Quincy, MA 02171-1033 | 2011-10-10 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.