SAMANTHA ILLSLEY
NPI 1083380653
Technician/Technologist in Saint Cloud, MN

Active since August 23, 2021
141 33RD AVE S, SAINT CLOUD, MN 56301(320) 443-6250 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Illsley NPPES

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

SAMANTHA ILLSLEY (NPI 1083380653) is an individual technician/technologist in Saint Cloud, Minnesota and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1083380653
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameSAMANTHA ILLSLEY
Location Address141 33RD AVE SSaint Cloud, MN 56301-3753
Mailing Address141 33rd Ave SSaint Cloud, MN 56301-3753 · (320) 443-6250
Sole ProprietorYes
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
NPI 1083380653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
141 33RD AVE S, Saint Cloud, MN 56301

Other Providers at the Same Location NPPES 7

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

Pharmacy Technician
141 33RD AVE S
ST. CLOUD, MN 56301
Health Educator
141 33RD AVE S
ST. CLOUD, MN 56301
Technician/Technologist
141 33RD AVE S
SAINT CLOUD, MN 56301
Pharmacy Technician
141 33RD AVE S
SAINT CLOUD, MN 56301
Pharmacy Technician
141 33RD AVE S
SAINT CLOUD, MN 56301
Pharmacy Technician
141 33RD AVE S
SAINT CLOUD, MN 56301
Health Educator
141 33RD AVE S
SAINT CLOUD, MN 56301

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 Illsley's NPI number?

The NPI number for Samantha Illsley is 1083380653. It was assigned to this individual provider in the NPPES registry on August 23, 2021.

Where is Samantha Illsley located?

Samantha Illsley practices at 141 33rd Ave S, Saint Cloud, MN 56301. The listed phone number is (320) 443-6250.

What is Samantha Illsley's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Samantha Illsley was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.