SAMANTHA DEVENEY LIN FNP-BC MS MPH NPI 1538756440

NPI Information

NPI: 1538756440
Provider Name: SAMANTHA DEVENEY LIN, FNP-BC, MS, MPH
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1525 E 55TH ST
CHICAGO, IL
ZIP 60615
Phone: (212) 305-5756
Get Directions

Samantha Deveney Lin, FNP-BC, MS, MPH is a family nurse practitioner in Chicago, IL with 4 years of experience. Samantha Deveney Lin, FNP-BC, MS, MPH NPI is 1538756440. 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:

1525 E 55TH ST
CHICAGO, IL
ZIP 60615-512
Phone: (212) 305-5756

The NPI 1538756440 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 12/26/2020 and was last updated on 1/26/2023.

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
1	163W00000X	Registered Nurse		20140044RN	OREGON	No
2	363LF0000X	Nurse Practitioner	Family	202011296NP-PP	OREGON	No
3	363LP2300X	Nurse Practitioner	Primary Care	202011296NP-PP	OREGON	No
4	363LF0000X	Nurse Practitioner	Family	209.024782	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209.024782	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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