| NPI | 1114761053 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2024-06-25 |
| Last Updated | 2024-06-26 |
| Mailing Address | 819 S Salina St Syracuse, NY 13202-3570 United States 📍 View Map |
| Primary Practice Address | 930 S Salina St Syracuse, NY 13202-3530 United States Phone: (315) 476-7921 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LP2300X – Nurse Practitioner, Primary Care | NY | F352051-01 |
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About NPI 1114761053
Samantha Conklin FNP-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114761053. The primary specialty listed is Nurse Practitioner, Primary Care. The provider is located in Syracuse, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2024-06-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114761053?
NPI 1114761053 belongs to Samantha Conklin FNP-C, a Nurse Practitioner, Primary Care in Syracuse, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114761053 active?
The current status of NPI 1114761053 in the NPPES registry is Active. The record was last updated on 2024-06-26.
What specialty is NPI 1114761053?
NPI 1114761053 is classified under the taxonomy Nurse Practitioner, Primary Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114761053?
You can verify NPI 1114761053 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114761053?
The primary practice address on file for NPI 1114761053 is 930 S Salina St, Syracuse, NY 13202-3530. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114761053 issued?
NPI 1114761053 was first issued (enumerated) on 2024-06-25. The NPPES record was last updated on 2024-06-26.
Practice Location Map
Samantha Conklin is located at 930 S Salina St, Syracuse, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Samantha Conklin. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114761053. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner, Primary Care | F352051-01 | NY |