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MS. SAMANTHA GAIL KODAK RN, CCRN, SRNA
NPI 1831947480
Registered Nurse - Critical Care Medicine in Charleston, SC

Active since May 08, 2024
151 RUTLEDGE AVE BLDG A, CHARLESTON, SC 29425(843) 792-3328 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Samantha Gail Kodak Rn, Ccrn, Srna NPPES

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

MS. SAMANTHA GAIL KODAK RN, CCRN, SRNA (NPI 1831947480) is an individual critical care medicine provider in Charleston, South Carolina, licensed in New York (818754) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1831947480
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameMS. SAMANTHA GAIL KODAKCredential: RN, CCRN, SRNA
Location Address151 RUTLEDGE AVE BLDG ACharleston, SC 29425-8903
Mailing Address79 Sherman AveWest Islip, NY 11795-3213 · (631) 358-9496
Phone(843) 792-3328
Sole ProprietorYes
Enumeration DateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1831947480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in NY · 818754
151 RUTLEDGE AVE BLDG A, Charleston, SC 29425
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK ANTHONY SELMSER
Student in an Organized Health Care Education/Training Program
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425
Charleston County (843) 792-3328
EVY GILES RN, SRNA
Registered Nurse (Critical Care Medicine)
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425
Charleston County (843) 792-3328
GALEN SHERIF
Student in an Organized Health Care Education/Training Program
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425
Charleston County (843) 792-3328
STEVEN SCOTT
Registered Nurse
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425
Charleston County (843) 792-3328
HOLDEN L OHM
Registered Nurse
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425
Charleston County (843) 792-3328
EMILY SCHROEDER CRNA
Nurse Anesthetist, Certified Registered
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425
Charleston County (843) 792-3328
EMILY ESPOSITO
Registered Nurse
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425
Charleston County (843) 792-3328
JESSICA ANNE BOYCE PA-S
Physician Assistant
151 RUTLEDGE AVE BLDG A
CHARLESTON, SC 29425
Charleston County (843) 792-3328

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 Kodak's NPI number?

The NPI number for Samantha Kodak is 1831947480. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Samantha Kodak located?

Samantha Kodak practices at 151 Rutledge Ave Bldg A, Charleston, SC 29425. The listed phone number is (843) 792-3328.

What is Samantha Kodak's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Samantha Kodak was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.