SAMANTHA DICKENS (NPI# 1992031207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992031207 |
| Entity Type | Individual |
| Full Name | SAMANTHA DICKENS |
| Credential | CSFA |
| Practice Address |
70458 Silas Thomas Rd Pearl River LA 70452-2460 |
| Practice Telephone | 9857073017 |
| Mailing Telephone | 9857073017 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2011-12-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
114115 | LA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326600255 | Samantha Dickens | Massage Therapist | 6321 Stonefly Dr, Colorado Springs, CO 80924-5209 | 2019-07-01 |
| 1902339476 | Samantha Dickens | Social Worker | 5689 S Redwood Rd Unit 27, Salt Lake City, UT 84123-5499 | 2017-04-11 |
| Street Address |
70458 SILAS THOMAS RD |
| City | PEARL RIVER |
| State | LA |
| Zip Code | 70452-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592385 | Northshore Surgical Assisting | Specialist/Technologist, Other | 70458 Silas Thomas Rd, Pearl River, LA 70452-2460 | 2016-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225468697 | Riverbend Therapeutics | Durable Medical Equipment & Medical Supplies | 417 N. Woodlake Way, Pearl River, LA 70452 | 2013-11-20 |
| 1184870461 | Elizabeth R Brent | Speech-Language Pathologist | 68207 Deer Run Road, Pearl River, LA 70452 | 2008-08-18 |
| 1578617593 | St Tammany Fire Protection District 11 | Ambulance | 64279 Hwy 3081, Pearl River, LA 70452 | 2007-01-23 |
| 1871765495 | Keenan's Transportation, LLC | Non-emergency Medical Transport (VAN) | 62390 John Smith Rd, Pearl River, LA 70452 | 2008-03-25 |
| 1790827277 | J Philip Epling IIi A Professional Dental Corp | Dentist | 63222 Highway 1090, Pearl River, LA 70452 | 2007-02-13 |
| 1467872572 | Suhaskumar G Patel | Pharmacist | 64060 Highway 41, Pearl River, LA 70452-3267 | 2014-04-16 |
| 1841610151 | Pearl River Pharmacy Inc. | Pharmacy | 64060 Highway 41, Pearl River, LA 70452-3267 | 2014-04-25 |
| 1700030210 | Cecelia A. Glaviano | Social Worker | 61518 Highway 1091, Pearl River, LA 70452-3316 | 2008-11-11 |
| 1477760171 | Aloe Vera | Home Health | 62390 John Smith Rd, Pearl River, LA 70452-3334 | 2007-05-16 |
| 1396902425 | Aloe Vera Counseling, LLC | Home Health | 62390 John Smith Rd, Pearl River, LA 70452-3334 | 2008-05-16 |
| Find all providers in zip 70452 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592385 | Northshore Surgical Assisting | Specialist/Technologist, Other | 70458 Silas Thomas Rd, Pearl River, LA 70452-2460 | 2016-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858509 | Karen Lynn Basham | Specialist/Technologist, Other | 14141 Azalea Park Ave Apt C, Baton Rouge, LA 70816-1674 | 2019-12-16 |
| 1245876176 | Bernarda Antonieta Cedano Ramirez | Specialist/Technologist, Other | 4337 Cole Pl, Shreveport, LA 71109-6604 | 2019-11-26 |
| 1710528427 | Shelby Fabre | Specialist/Technologist, Other | 1442 S Acadian Thruway, Baton Rouge, LA 70808-1182 | 2019-10-03 |
| 1962962852 | Sabrina Anne Theriot | Specialist/Technologist, Other | 444 S 5th St, Ponchatoula, LA 70454-2712 | 2019-03-25 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| 1730624495 | Connie Savoy | Specialist/Technologist, Other | 219 Bonnie Rd, Opelousas, LA 70570-0856 | 2017-01-04 |
| 1689119448 | Tavarius Walker | Specialist/Technologist, Other | 4010 Gibson St Apt 8624, New Orleans, LA 70122-1608 | 2017-01-03 |
| 1437516457 | Maria Fernanda Kazibutowski | Specialist/Technologist, Other | 4315 Houma Blvd Ste 304, Metairie, LA 70006-2944 | 2016-01-21 |
| 1629466321 | Joni Dolhonde | Specialist/Technologist, Other | 53493 Highway 433, Slidell, LA 70461-4719 | 2015-01-03 |
| 1740686740 | Gregory Allen Melder | Specialist/Technologist, Other | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2014-11-18 |
| Find all providers with the same taxonomy | ||||
| City | PEARL RIVER |
| Zip Code | 70452 |
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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.