SAMANTHA DONOVAN NPI 1689027278

NPI Information

  • NPI: 1689027278
  • Provider Name: SAMANTHA DONOVAN
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Individual
  • Address: 4385 MARYLAND AVE
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (504) 896-2345

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NPI Details

Samantha Donovan is a nursing home administrator in Saint Louis, MO. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Samantha Donovan NPI is 1689027278. 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:

4385 MARYLAND AVE
SAINT LOUIS, MO
ZIP 63108-703
Phone: (504) 896-2345

The enumeration date for this NPI number is 7/19/2016 and was last updated on 10/24/2024.

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
1101Y00000XCounselorNo
2376G00000XNursing Home Administrator8079MISSOURIYes

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: 11/21/2025

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