ROBERT L SAMPSON (NPI# 1457907586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457907586 |
| Entity Type | Individual |
| Full Name | ROBERT L SAMPSON |
| Credential | CNA |
| Practice Address |
813 Carroll St Pawnee IL 62558-9152 |
| Practice Telephone | 2173031265 |
| Mailing Telephone | 2173031265 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DRIVERS LICENSE | S512-7726-7037 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699844597 | Robert Carl Sampson Jr. | Psychiatry & Neurology | 21 George St Ste 1, Lowell, MA 01852-2228 | 2006-11-06 |
| 1386654952 | Robert L.j. Sampson | Orthopaedic Surgery | 1 Va Ctr Bldg Dr, Bldg 200, Augusta, ME 04330-6719 | 2006-08-08 |
| 1467700203 | Robert Paul Sampson | Pharmacist | 7939 New Hampshire Ave, Hyattsville, MD 20783-4609 | 2012-08-28 |
| 1679807929 | Robert Sampson | Licensed Practical Nurse | 2619 Product Dr, Rochester Hills, MI 48309-3807 | 2009-09-18 |
| 1730160516 | Robert Allan Sampson | Podiatrist | 5050 Ne Hoyt St, Ste 235, Portland, OR 97213-2981 | 2005-11-09 |
| Street Address |
813 CARROLL ST |
| City | PAWNEE |
| State | IL |
| Zip Code | 62558-9152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396271540 | Carl Joseph Clarizio IIi | Specialist/Technologist | 218 10th St, Pawnee, IL 62558 | 2017-05-10 |
| 1518064971 | Steven T Landrey | Chiropractor | 707 Carroll St., Pawnee, IL 62558 | 2006-09-20 |
| 1386723898 | Pathway Chiropractic, P.C. | Chiropractor | 707 Carroll St., Suite C, Pawnee, IL 62558 | 2006-11-03 |
| 1720200223 | Community Drug, Inc. | Pharmacy | 609 Douglas, Pawnee, IL 62558-0619 | 2007-05-03 |
| 1811001050 | Pawnee Fire Protection Dist | Ambulance | 711 8th St, Pawnee, IL 62558-0922 | 2006-08-17 |
| 1508871922 | Janna Louise Seiz | Specialist | 15400 S Pawnee Rd, Pawnee, IL 62558-9134 | 2006-07-31 |
| 1780012229 | Kathleen Morris | Developmental Therapist | 501 8th St, Pawnee, IL 62558-9476 | 2013-10-18 |
| 1306240320 | Lakin Puzey | Developmental Therapist | 1207 Monroe St, Pawnee, IL 62558-9498 | 2014-10-20 |
| 1922551316 | Melanie Jesse | Social Worker | 1215 4th St, Pawnee, IL 62558-9619 | 2016-08-02 |
| 1376860254 | Harrys Pharmacy Inc | Pharmacy | 707 Carroll St Ste B, Pawnee, IL 62558-9661 | 2010-04-30 |
| Find all providers in zip 62558 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
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| 1871108209 | Ashley Marie Dawkins | Technician | 528 Grant Dr, Quincy, IL 62301-7234 | 2020-09-11 |
| 1104437797 | Stephen T Medford | Technician | 1017 Hartman Ln, O Fallon, IL 62269-7207 | 2020-08-16 |
| 1528685088 | Maxine Washington | Technician | 2014 S. 17th Ave., Broadview, IL 60155-2906 | 2020-07-01 |
| 1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
| 1356962377 | Brenda Lou Isermann | Technician | 406 W South 2nd St, Shelbyville, IL 62565-2114 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
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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.