SAMANTHA JO DATES
NPI 1538767355
Licensed Practical Nurse in Randolph, WI

Q: What is Samantha Dates's NPI number?

The NPI number for Samantha Dates is 1538767355. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Q: What is Samantha Dates's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Dates was last updated on October 14, 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 October 14, 2020

N8273 E FRIESLAND RD, RANDOLPH, WI 53956(920) 296-7067 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samantha Jo Dates NPPES

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

SAMANTHA JO DATES (NPI 1538767355) is an individual licensed practical nurse in Randolph, Wisconsin, licensed in Wisconsin (325608) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1538767355

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSAMANTHA JO DATES

Location AddressN8273 E FRIESLAND RDRandolph, WI 53956-9407

Mailing AddressN8273 E Friesland RdRandolph, WI 53956-9407 · (920) 296-7067

Phone(920) 296-7067

Sole ProprietorNo

Enumeration DateOctober 14, 2020

NPPES CertifiedOctober 14, 2020

✔ NPI 1538767355 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 · 325608

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.

N8273 E FRIESLAND RD, Randolph, WI 53956

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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 Dates's NPI number?

The NPI number for Samantha Dates is 1538767355. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Samantha Dates located?

Samantha Dates practices at N8273 E Friesland Rd, Randolph, WI 53956. The listed phone number is (920) 296-7067.

What is Samantha Dates'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 Dates was last updated on October 14, 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.