SAMIRA OUTLAW CNA
NPI 1023724408
Nurse's Aide in Austell, GA

Active since January 27, 2023
6117 MULBERRY STREET EXT, AUSTELL, GA 30168(470) 484-9377 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse's Aide

About SAMIRA OUTLAW

This page provides the complete NPI Profile along with additional information for Samira Outlaw, a provider established in Austell, Georgia with a medical specialization in Nurse's Aide. The healthcare provider is registered in the NPI registry with number 1023724408 assigned on January 2023. The practitioner's primary taxonomy code is 376K00000X with license number CN0030078606 (GA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1023724408 Verify this NPI
Provider Name
SAMIRA OUTLAW CNA
Gender
Female
Entity Type
Individual
Location Address
6117 MULBERRY STREET EXT AUSTELL, GA 30168
Location Phone
(470) 484-9377
Mailing Address
6117 MULBERRY STREET EXT AUSTELL, GA 30168
Is Sole Proprietor?
Yes
Enumeration Date
01-27-2023
Last Update Date
01-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse's Aide

Taxonomy Code
376K00000X
Type
Nursing Service Related Providers
License No.
CN0030078606
License State
GA
Taxonomy Description
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023724408, enumerated as an "individual" on January 27, 2023.

The provider is located at 6117 MULBERRY STREET EXT AUSTELL, GA 30168 and the phone number is (470) 484-9377.

Nurse's Aide with taxonomy code 376K00000X.