MS. SAMANTHA TYSON DNP
NPI 1467103655
Nurse Anesthetist, Certified Registered in Boston, MA

NPI Status: Active since January 10, 2022

Contact Information

330 BROOKLINE AVE
DEPT OF ANESTHESIA
BOSTON, MA
ZIP 02215
Phone: (617) 667-3112
Fax: (617) 754-8791

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  • Individual
  • Female
  • Nurse Anesthetist, Certified Registered

About SAMANTHA TYSON

This page provides the complete NPI Profile along with additional information for Samantha Tyson, a provider established in Boston, Massachusetts with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1467103655 assigned on January 2022. The practitioner's primary taxonomy code is 367500000X with license number RN10012011 (MA). The provider is registered as an individual and her NPI record was last updated March 2025.

NPI
1467103655
Provider Name
MS. SAMANTHA TYSON DNP
Gender
Female
Entity Type
Individual
Location Address
330 BROOKLINE AVE DEPT OF ANESTHESIA BOSTON, MA 02215
Location Phone
(617) 667-3112
Location Fax
(617) 754-8791
Mailing Address
330 BROOKLINE AVE DEPT OF ANESTHESIA BOSTON, MA 02215
Mailing Phone
(617) 667-3112
Mailing Fax
(617) 754-8791
Is Sole Proprietor?
Yes
Enumeration Date
01-10-2022
Last Update Date
03-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN10012011
License State
MA
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN753326 (PA)
2163W00000XNursing Service Providers

Registered Nurse

041480604 (IL)
3390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467103655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24127206610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 2 + 0 + 6 + 6 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1467103655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

CAROLYN ZELOP MD

Obstetrics & Gynecology

(Maternal & Fetal Medicine)

330 BROOKLINE AVE
KS 306
BOSTON, MA
ZIP 02215

(617) 667-2932

DR. JOERG PETER OETTGEN M.D.

Internal Medicine

(Cardiovascular Disease)

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 632-0586

DR. JOHN BERNARD PAWLOWSKI M.D., PH.D.

Anesthesiology

330 BROOKLINE AVE
DEPT OF ANESTHESIA ST-308
BOSTON, MA
ZIP 02215

(617) 754-2675

DR. JONATHAN L HECHT MD, PHD

Specialist

330 BROOKLINE AVE
PATHOLOGY
BOSTON, MA
ZIP 02215

(617) 667-4344

JAMES WOODROW WEISS M.D.

Internal Medicine

(Critical Care Medicine)

330 BROOKLINE AVE
GZ 405
BOSTON, MA
ZIP 02215

(617) 667-4895

DR. ABRAM RECHT M.D.

Radiology

(Radiation Oncology)

330 BROOKLINE AVE
FINARD BUILDING B25
BOSTON, MA
ZIP 02215

(617) 667-2345

DR. CLIFFORD B SAPER MD

Psychiatry & Neurology

(Neurology)

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 667-2622

DR. MATTHEW PETER ANDERSON M.D., PH.D.

Pathology

(Neuropathology)

330 BROOKLINE AVE
DEPT. OF NEUROLOGY
BOSTON, MA
ZIP 02215

(617) 667-3090

DR. WARREN J MANNING M.D.

Internal Medicine

(Cardiovascular Disease)

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 667-2192

DR. MELISSA LOWE PLOCHER MATTISON MD

Internal Medicine

(Geriatric Medicine)

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 754-4677

DR. DAVID FEINBLOOM M.D.

Hospitalist

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 667-4700

DR. JOSEPH LI M.D.

Internal Medicine

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 754-4677

DR. GEOFFREY SCOTT GILMARTIN M.D.

Internal Medicine

(Pulmonary Disease)

330 BROOKLINE AVE
GZ-402
BOSTON, MA
ZIP 02215

(617) 667-4120

DR. DAVID HILLEL ROBERTS MD

Internal Medicine

(Pulmonary Disease)

330 BROOKLINE AVE
KSB23, BIDMC PULMONARY
BOSTON, MA
ZIP 02215

(617) 667-5864

DR. XIN YUAN MD

Pathology

(Anatomic Pathology)

330 BROOKLINE AVE
DEPT OF MEDICINE
BOSTON, MA
ZIP 02215

(617) 667-5937

DR. JOHN A.F. ZUPANCIC MD

Pediatrics

(Neonatal-Perinatal Medicine)

330 BROOKLINE AVE
ROSE BUILDING ROOM 318
BOSTON, MA
ZIP 02215

(617) 667-3276

DOUGLAS ALAN HORST MD

Internal Medicine

(Gastroenterology)

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215

(617) 632-8623

DR. TIMOTHY S. LOO M.D.

Internal Medicine

330 BROOKLINE AVE
SHAPIRO 6
BOSTON, MA
ZIP 02215

(617) 667-9600

DR. JOSEPH DAVID ZIBRAK MD

Internal Medicine

(Pulmonary Disease)

330 BROOKLINE AVE
BETH ISRAEL DEACONESS MEDICAL CENTER
BOSTON, MA
ZIP 02215

(617) 667-5864

DR. DAN H BAROUCH MD PHD

Internal Medicine

(Infectious Disease)

330 BROOKLINE AVE
RESEARCH EAST 113 BETH ISRAEL DEACONESS HOSPITAL
BOSTON, MA
ZIP 02215

(617) 667-4434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467103655, enumerated as an "individual" on January 10, 2022.

The provider is located at 330 BROOKLINE AVE DEPT OF ANESTHESIA BOSTON, MA 02215 and the phone number is (617) 667-3112.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.