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SAMANTHA DANIELLE KISAMORE
NPI 1245848928
Nurse's Aide in Petersburg, WV

Active since July 17, 2020
12 MAPLE HILL AVE STE 1, PETERSBURG, WV 26847(304) 257-9298 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Danielle Kisamore NPPES

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

SAMANTHA DANIELLE KISAMORE (NPI 1245848928) is an individual nurse's aide in Petersburg, West Virginia, licensed in West Virginia (80681) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1245848928
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameSAMANTHA DANIELLE KISAMORE
Location Address12 MAPLE HILL AVE STE 1Petersburg, WV 26847-1547
Mailing Address12 Maple Hill Ave Ste 1Petersburg, WV 26847-1547 · (304) 257-9298
Phone(304) 257-9298
Sole ProprietorNo
Enumeration DateJuly 17, 2020
NPPES CertifiedJuly 17, 2020
✔ NPI 1245848928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in WV · 80681
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
12 MAPLE HILL AVE STE 1, Petersburg, WV 26847
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Other Providers at the Same Location NPPES 20

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

LINDA L BERGDOLL
Technician (Personal Care Attendant)
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847
Grant County (304) 257-9298
ALISSA CAMPBELL
Technician (Personal Care Attendant)
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847
Grant County (304) 257-9298
LABREESKA KIMBLE
Technician (Personal Care Attendant)
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847
Grant County (304) 257-9298
CHELSEA SAMPSELL
Technician (Personal Care Attendant)
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847
Grant County (304) 257-9298
ASHLEY STICKLEY
Technician (Personal Care Attendant)
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847
Grant County (304) 242-8404
ISAAC BARGER
Technician (Attendant Care Provider)
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847
Grant County (304) 257-9298
ARIAHNA TUCKER
Technician (Personal Care Attendant)
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847
Grant County (304) 324-2840
KYLIE NICOLE LAHMAN
Technician (Personal Care Attendant)
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847
Grant County (304) 257-9298

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 Kisamore's NPI number?

The NPI number for Samantha Kisamore is 1245848928. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Where is Samantha Kisamore located?

Samantha Kisamore practices at 12 Maple Hill Ave Ste 1, Petersburg, WV 26847. The listed phone number is (304) 257-9298.

What is Samantha Kisamore's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Samantha Kisamore was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.