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
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 163W00000X | Nursing Service Providers | Registered Nurse | RN753326 (PA) |
2 | 163W00000X | Nursing Service Providers | Registered Nurse | 041480604 (IL) |
3 | 390200000X | Student, 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. | |||||||||
1 | 4 | 6 | 7 | 1 | 0 | 3 | 6 | 5 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 12 | 7 | 2 | 0 | 6 | 6 | 10 | |
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 = 5 | 5 |
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
DR. JOERG PETER OETTGEN M.D.
Internal Medicine
(Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
DR. JOHN BERNARD PAWLOWSKI M.D., PH.D.
Anesthesiology
330 BROOKLINE AVE
DEPT OF ANESTHESIA ST-308
BOSTON, MA
ZIP 02215
DR. JONATHAN L HECHT MD, PHD
Specialist
330 BROOKLINE AVE
PATHOLOGY
BOSTON, MA
ZIP 02215
JAMES WOODROW WEISS M.D.
Internal Medicine
(Critical Care Medicine)
330 BROOKLINE AVE
GZ 405
BOSTON, MA
ZIP 02215
DR. ABRAM RECHT M.D.
Radiology
(Radiation Oncology)
330 BROOKLINE AVE
FINARD BUILDING B25
BOSTON, MA
ZIP 02215
DR. CLIFFORD B SAPER MD
Psychiatry & Neurology
(Neurology)
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
DR. MATTHEW PETER ANDERSON M.D., PH.D.
Pathology
(Neuropathology)
330 BROOKLINE AVE
DEPT. OF NEUROLOGY
BOSTON, MA
ZIP 02215
DR. WARREN J MANNING M.D.
Internal Medicine
(Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
DR. MELISSA LOWE PLOCHER MATTISON MD
Internal Medicine
(Geriatric Medicine)
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
DR. DAVID FEINBLOOM M.D.
Hospitalist
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
DR. JOSEPH LI M.D.
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
DR. GEOFFREY SCOTT GILMARTIN M.D.
Internal Medicine
(Pulmonary Disease)
330 BROOKLINE AVE
GZ-402
BOSTON, MA
ZIP 02215
DR. DAVID HILLEL ROBERTS MD
Internal Medicine
(Pulmonary Disease)
330 BROOKLINE AVE
KSB23, BIDMC PULMONARY
BOSTON, MA
ZIP 02215
DR. XIN YUAN MD
Pathology
(Anatomic Pathology)
330 BROOKLINE AVE
DEPT OF MEDICINE
BOSTON, MA
ZIP 02215
DR. JOHN A.F. ZUPANCIC MD
Pediatrics
(Neonatal-Perinatal Medicine)
330 BROOKLINE AVE
ROSE BUILDING ROOM 318
BOSTON, MA
ZIP 02215
DOUGLAS ALAN HORST MD
Internal Medicine
(Gastroenterology)
330 BROOKLINE AVE
BOSTON, MA
ZIP 02215
DR. TIMOTHY S. LOO M.D.
Internal Medicine
330 BROOKLINE AVE
SHAPIRO 6
BOSTON, MA
ZIP 02215
DR. JOSEPH DAVID ZIBRAK MD
Internal Medicine
(Pulmonary Disease)
330 BROOKLINE AVE
BETH ISRAEL DEACONESS MEDICAL CENTER
BOSTON, MA
ZIP 02215
DR. DAN H BAROUCH MD PHD
Internal Medicine
(Infectious Disease)
330 BROOKLINE AVE
RESEARCH EAST 113 BETH ISRAEL DEACONESS HOSPITAL
BOSTON, MA
ZIP 02215
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.