SAMANTHA MAHON
NPI 1225488729
Licensed Practical Nurse in Brockport, NY

Q: What is Samantha Mahon's NPI number?

The NPI number for Samantha Mahon is 1225488729. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Q: What is Samantha Mahon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Mahon was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 15, 2016

31 BROCKWAY PL, BROCKPORT, NY 14420(585) 455-6002 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samantha Mahon NPPES

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

SAMANTHA MAHON (NPI 1225488729) is an individual licensed practical nurse in Brockport, New York, licensed in New York (321794) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1225488729

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSAMANTHA MAHON

Location Address31 BROCKWAY PLBrockport, NY 14420-2207

Mailing Address31 Brockway PlBrockport, NY 14420-2207 · (585) 455-6002

Phone(585) 455-6002

Sole ProprietorYes

Enumeration DateJune 15, 2016

✔ NPI 1225488729 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 · 321794

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.

31 BROCKWAY PL, Brockport, NY 14420

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Other Providers at the Same Location NPPES

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

DR. KATHLEEN A DONAHUE PSYD

Psychologist (Clinical)

31 BROCKWAY PL
BROCKPORT, NY 14420

Monroe County (585) 319-1546

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 Mahon's NPI number?

The NPI number for Samantha Mahon is 1225488729. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Samantha Mahon located?

Samantha Mahon practices at 31 Brockway Pl, Brockport, NY 14420. The listed phone number is (585) 455-6002.

What is Samantha Mahon'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 Mahon was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.