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Mandisa Samuel, LPN
NPI 1104165778 · Licensed Practical Nurse · Mount Vernon, NY
Mandisa Samuel, LPN is a Licensed Practical Nurse provider in Mount Vernon, NY (NPI 1104165778).
Provider details
- NPI number
- 1104165778
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 311705-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
53 Bell Ave
Mount Vernon, NY 10550-4808
Phone: (646) 778-6501
Street-level locationGet directions
Mailing address
53 Bell Ave
Mount Vernon, NY 10550-4808
Registry dates
- Enumerated
- 2013-02-02
- Last updated
- 2013-02-02
Frequently asked questions
- What is Mandisa Samuel's NPI number?
- Mandisa Samuel's National Provider Identifier (NPI) is 1104165778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mandisa Samuel's specialty?
- Mandisa Samuel is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Mandisa Samuel located?
- Mandisa Samuel's practice location on file with NPPES is 53 Bell Ave, Mount Vernon, NY 10550-4808.
- What is Mandisa Samuel's phone number?
- The practice phone number listed in the NPPES registry for Mandisa Samuel is (646) 778-6501.
- Is Mandisa Samuel's NPI active?
- Yes — Mandisa Samuel's NPI (1104165778) is active in the NPPES registry as of the last update on 2013-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.