SAMANTHA BLAYLOCK
NPI 1932033651
Licensed Practical Nurse in Princeton, WV

Active since June 09, 2026
200 12TH STREET EXT, PRINCETON, WV 24740(304) 425-9541 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Blaylock NPPES

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

SAMANTHA BLAYLOCK (NPI 1932033651) is an individual licensed practical nurse in Princeton, West Virginia, licensed in West Virginia (36494) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1932033651
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSAMANTHA BLAYLOCK
Location Address200 12TH STREET EXTPrinceton, WV 24740-2329
Mailing AddressPo Box 618Northfork, WV 24868-0618 · (304) 425-9541
Sole ProprietorNo
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1932033651 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 WV · 36494
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.

200 12TH STREET EXT, Princeton, WV 24740

Other Providers at the Same Location NPPES 20

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

Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Community Health Worker
200 12TH STREET EXT
PRINCETON, WV 24740
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740
Peer Specialist
200 12TH STREET EXT
PRINCETON, WV 24740
Case Manager/Care Coordinator
200 12TH STREET EXT
PRINCETON, WV 24740

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 Blaylock's NPI number?

The NPI number for Samantha Blaylock is 1932033651. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Samantha Blaylock located?

Samantha Blaylock practices at 200 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 425-9541.

What is Samantha Blaylock'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 Blaylock was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.