Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SHANNON ODEAN SAMSON
NPI 1043137946
Technician - Personal Care Attendant in Des Lacs, ND

Active since July 01, 2026
18050 121ST AVE SW, DES LACS, ND 58733(701) 720-0695 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Odean Samson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON ODEAN SAMSON (NPI 1043137946) is an individual personal care attendant in Des Lacs, North Dakota and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1043137946
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSHANNON ODEAN SAMSON
Location Address18050 121ST AVE SWDes Lacs, ND 58733-9418
Mailing Address18050 121st Ave SwDes Lacs, ND 58733-9418 · (701) 720-0695
Sole ProprietorYes
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1043137946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

18050 121ST AVE SW, Des Lacs, ND 58733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Samson's NPI number?

The NPI number for Shannon Samson is 1043137946. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Shannon Samson located?

Shannon Samson practices at 18050 121st Ave SW, Des Lacs, ND 58733. The listed phone number is (701) 720-0695.

What is Shannon Samson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Shannon Samson was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.