SAMANTHA S RUSSELL LPN
NPI 1063867646
Licensed Practical Nurse in Highland, NY

Active since May 02, 2016
4 JEFFERSON PLAZA, HIGHLAND, NY 12528(845) 473-5900(845) 473-6692 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha S Russell Lpn NPPES

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

SAMANTHA S RUSSELL LPN (NPI 1063867646) is an individual licensed practical nurse in Highland, New York, licensed in New York (312631) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1063867646
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMANTHA S RUSSELLCredential: LPN
Location Address4 JEFFERSON PLAZAHighland, NY 12528
Mailing Address4 Jefferson PlazaHighland, NY 12528 · (845) 473-5900 · Fax (845) 473-6692
Fax(845) 473-6692
Sole ProprietorYes
Enumeration DateMay 2, 2016
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1063867646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 312631
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4 JEFFERSON PLAZA, Highland, NY 12528

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 Samantha Russell's NPI number?

The NPI number for Samantha Russell is 1063867646. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Samantha Russell located?

Samantha Russell practices at 4 Jefferson Plaza, Highland, NY 12528. The listed phone number is (845) 473-5900.

What is Samantha Russell's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Samantha Russell was last updated on January 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.