MR. SAMUEL SACKENHEIM (NPI# 1942844527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942844527 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL SACKENHEIM |
| Credential | FNP |
| Practice Address |
117 Clodfelter Rd Mooresville NC 28115-7810 |
| Practice Telephone | 7043078552 |
| Mailing Telephone | 7043078552 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F09191664 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
117 CLODFELTER RD |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-7810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079356 | Brianna Helen Devalk | Nurse Practitioner | 161 Mott Rd, Mooresville, NC 28115-8588 | 2020-10-06 |
| 1497361067 | Kara Lloyd | Nurse Practitioner | 105 Sapling St Apt 101, Mooresville, NC 28117-7063 | 2020-09-19 |
| 1710518220 | Katie T Kissel | Nurse Practitioner | 128 E Plaza Dr Ste 3, Mooresville, NC 28115-8000 | 2020-02-03 |
| 1932743846 | Amber W Waddell | Nurse Practitioner | 103 Sandreed Dr, Mooresville, NC 28117-4360 | 2019-11-04 |
| 1205483922 | Elizabeth Lamb | Nurse Practitioner | 510 River Hwy Ste 15a, Mooresville, NC 28117-6943 | 2019-08-19 |
| 1023520301 | Dawn Marie Cahn | Nurse Practitioner | 137 Shavender Dr, Mooresville, NC 28117-6407 | 2017-10-26 |
| 1831637545 | Gisela Blake | Nurse Practitioner | 112 Argus Ln Ste A, Mooresville, NC 28117-9270 | 2017-02-02 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1538428875 | Erica Hendress | Nurse Practitioner | 523 South State Road 67, Minute Clinic, Mooresville, IN 46158-4529 | 2012-05-07 |
| 1407860182 | Kristie D. Smith | Nurse Practitioner | 544 Brawley School Rd, Ste A, Mooresville, NC 28117-9393 | 2006-07-28 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
Please comment or provide details below to improve the information on MR. SAMUEL SACKENHEIM.
| 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.