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SAMSON KERNISANT
NPI 1154217222
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since June 16, 2025
425 PLEASANT ST STE 104, BROCKTON, MA 02301(508) 269-9695(508) 425-3048 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samson Kernisant NPPES

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

SAMSON KERNISANT (NPI 1154217222) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1154217222
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMSON KERNISANT
Location Address425 PLEASANT ST STE 104Brockton, MA 02301-2533
Mailing Address425 Pleasant St Ste 104Brockton, MA 02301-2533 · (508) 269-9695 · Fax (508) 425-3048
Phone(508) 269-9695
Fax(508) 425-3048
Sole ProprietorNo
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1154217222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
425 PLEASANT ST STE 104, Brockton, MA 02301
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Other Providers at the Same Location NPPES 3

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

FRANTZCES LYS
Social Worker (Clinical)
425 PLEASANT ST STE 104
BROCKTON, MA 02301
Plymouth County (508) 269-9695
HARRY REGIS
Social Worker (Clinical)
425 PLEASANT ST STE 104
BROCKTON, MA 02301
Plymouth County (508) 269-9695
MARIE H SAINT CYR LCSW
Social Worker (Clinical)
425 PLEASANT ST STE 104
BROCKTON, MA 02301
Plymouth County (508) 269-9698

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 Samson Kernisant's NPI number?

The NPI number for Samson Kernisant is 1154217222. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Samson Kernisant located?

Samson Kernisant practices at 425 Pleasant St Ste 104, Brockton, MA 02301. The listed phone number is (508) 269-9695.

What is Samson Kernisant's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samson Kernisant was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.