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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHATARA L SAMPSON LPN
NPI 1265343180
Licensed Practical Nurse in West Milwaukee, WI

Active since September 17, 2026
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214(414) 672-3801(414) 672-6026 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Shatara L Sampson Lpn NPPES

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

SHATARA L SAMPSON LPN (NPI 1265343180) is an individual licensed practical nurse in West Milwaukee, Wisconsin, licensed in Wisconsin (335136-31) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1265343180
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSHATARA L SAMPSONCredential: LPN
Location Address1610 MILLER PARK WAYWest Milwaukee, WI 53214-3604
Mailing Address1610 Miller Park WayWest Milwaukee, WI 53214-3604 · (414) 672-3801 · Fax (414) 672-6026
Phone(414) 672-3801
Fax(414) 672-6026
Sole ProprietorYes
Enumeration DateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1265343180 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 WI · 335136-31
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.
1610 MILLER PARK WAY, West Milwaukee, WI 53214
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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.

DEREK R THRUMAN SAC-IT
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
MILWAUKEE, WI 53214
Milwaukee County (414) 939-7556
MS. CRYSTAL MARIE SIMS CSAC
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
ALEXANDRIA GRACE VIETH SAC-IT
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
DEBRA BARKLEY
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
DR. RACHAEL KNUDSEN PSY.D.
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 939-7556
SHARADA K LANGE LPC, CSAC
Counselor (Professional)
1610 MILLER PARK WAY
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 939-7556
MS. KRISTIN ROGUSZKA LPC IT
Counselor (Professional)
1610 MILLER PARK WAY
WEST MILWAUKEE, WI 53214
Milwaukee County (414) 672-3801
JEFFREY L TAYLOR SR. CSAC
Counselor (Addiction (Substance Use Disorder))
1610 MILLER PARK WAY
MILWAUKEE, WI 53214
Milwaukee County (262) 549-6600

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 Shatara Sampson's NPI number?

The NPI number for Shatara Sampson is 1265343180. It was assigned to this individual provider in the NPPES registry on September 17, 2026.

Where is Shatara Sampson located?

Shatara Sampson practices at 1610 Miller Park Way, West Milwaukee, WI 53214. The listed phone number is (414) 672-3801.

What is Shatara Sampson'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 Shatara Sampson was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.