SAMANTHA KELLY
NPI 1063396687
Registered Nurse in Seattle, WA

Q: What is Samantha Kelly's NPI number?

The NPI number for Samantha Kelly is 1063396687. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Q: What is Samantha Kelly's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Kelly was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2025

1536 N 115TH ST STE 130, SEATTLE, WA 98133(206) 598-3344(206) 598-1250 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samantha Kelly NPPES

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

SAMANTHA KELLY (NPI 1063396687) is an individual registered nurse in Seattle, Washington, licensed in Washington (60284200) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1063396687

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameSAMANTHA KELLY

Location Address1536 N 115TH ST STE 130Seattle, WA 98133-8416

Mailing Address1536 N 115th St Ste 130Seattle, WA 98133-8416 · (206) 598-3344 · Fax (206) 598-1250

Phone(206) 598-3344

Fax(206) 598-1250

Sole ProprietorYes

Enumeration DateAugust 5, 2025

NPPES CertifiedAugust 5, 2025

✔ NPI 1063396687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in WA · 60284200

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

1536 N 115TH ST STE 130, Seattle, WA 98133

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET BROWN

Registered Nurse (Neuroscience)