SAMANTHA JO SHINN
NPI 1275138042
Nurse Practitioner - Family in Galesburg, IL

Q: What is Samantha Shinn's NPI number?

The NPI number for Samantha Shinn is 1275138042. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Q: What is Samantha Shinn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Shinn was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 01, 2020

700 JEFFERSON ST, GALESBURG, IL 61401(309) 335-7426 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Samantha Jo Shinn NPPES

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

SAMANTHA JO SHINN (NPI 1275138042) is an individual family provider in Galesburg, Illinois, licensed in Illinois (209022439) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1275138042

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA JO SHINN

Location Address700 JEFFERSON STGalesburg, IL 61401-2610

Mailing Address700 Jefferson StGalesburg, IL 61401-2610 · (309) 335-7426

Phone(309) 335-7426

Sole ProprietorNo

Enumeration DateDecember 1, 2020

NPPES CertifiedDecember 1, 2020

✔ NPI 1275138042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209022439

700 JEFFERSON ST, Galesburg, IL 61401

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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 Shinn's NPI number?

The NPI number for Samantha Shinn is 1275138042. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Samantha Shinn located?

Samantha Shinn practices at 700 Jefferson St, Galesburg, IL 61401. The listed phone number is (309) 335-7426.

What is Samantha Shinn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Samantha Shinn was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.