SAMANTHA TRITT NPI 1265076152

NPI Information

  • NPI: 1265076152
  • Provider Name: SAMANTHA TRITT
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5777 E MAYO BLVD
    PHOENIX, AZ
    ZIP 85054
  • Phone: (206) 145-9075

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NPI Details

Samantha Tritt is a gerontology nurse practitioner in Phoenix, AZ with 6 years of experience. Samantha Tritt NPI is 1265076152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5777 E MAYO BLVD
PHOENIX, AZ
ZIP 85054-502
Phone: (206) 145-9075

The NPI 1265076152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2019 and was last updated on 1/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health26NJ00959000NEW JERSEYNo
2363LG0600XNurse PractitionerGerontologyRNP290879ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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