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SAMANTHA DESSERT AGACNP
NPI 1962121889
Nurse Practitioner - School in Providence, RI

Active since August 24, 2022
305 SHIPYARD ST, PROVIDENCE, RI 02905(401) 598-1151(401) 598-4673 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Aug 24, 2022 (2 updates tracked since 2022).

About Samantha Dessert Agacnp NPPES

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

SAMANTHA DESSERT AGACNP (NPI 1962121889) is an individual school provider in Providence, Rhode Island, licensed in Rhode Island (APRN03841) and active in the NPI registry since August 2022. She maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1962121889
Entity TypeIndividualFemale
Primary Taxonomy363LS0200X
Provider Legal NameSAMANTHA DESSERTCredential: AGACNP
Location Address305 SHIPYARD STProvidence, RI 02905-5212
Mailing Address8 Abbott Park PlProvidence, RI 02903-3775 · (401) 598-1104
Phone(401) 598-1151
Fax(401) 598-4673
Sole ProprietorNo
Enumeration DateAugust 24, 2022
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1962121889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · SchoolPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LS0200X
License✔ Licensed in RI · APRN03841
305 SHIPYARD ST, Providence, RI 02905
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Secondary Practice Location 1

Location 18 Abbott Park PlProvidence, RI 02903-3775 · Phone (401) 598-1104

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 Dessert's NPI number?

The NPI number for Samantha Dessert is 1962121889. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Samantha Dessert located?

Samantha Dessert practices at 305 Shipyard St, Providence, RI 02905. The listed phone number is (401) 598-1151.

What is Samantha Dessert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.

When was this NPI record last updated?

The NPPES record for Samantha Dessert was last updated on October 31, 2023. 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.