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SAMANTHA ANN GRANT LPN
NPI 1417126558
Licensed Practical Nurse in Medford, NY

Active since February 22, 2008
55 RUSTIC AVE, MEDFORD, NY 11763(631) 235-6924 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Ann Grant Lpn NPPES

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

SAMANTHA ANN GRANT LPN (NPI 1417126558) is an individual licensed practical nurse in Medford, New York, licensed in New York (275599) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1417126558
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMANTHA ANN GRANTCredential: LPN
Location Address55 RUSTIC AVEMedford, NY 11763-4400
Mailing Address55 Rustic AveMedford, NY 11763-4400 · (631) 235-6924
Phone(631) 235-6924
Sole ProprietorYes
Enumeration DateFebruary 22, 2008
Last NPPES UpdateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1417126558 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 · 275599
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.
55 RUSTIC AVE, Medford, NY 11763
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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 Grant's NPI number?

The NPI number for Samantha Grant is 1417126558. It was assigned to this individual provider in the NPPES registry on February 22, 2008.

Where is Samantha Grant located?

Samantha Grant practices at 55 Rustic Ave, Medford, NY 11763. The listed phone number is (631) 235-6924.

What is Samantha Grant'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 Grant was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.