Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619334174 Deactivated / Inactive NPI Male Practitioner

Robert Samuels , NURSE

Licensed Practical Nurse • Charlestown, IN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Samuels has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 28, 2016
NPI Deactivation Date March 20, 2017
Total Practice Duration ~1 Years of Practice (2016 – 2017)

Professional Overview & Biography Verified Profile Summary

Robert Samuels, NURSE was a registered Licensed Practical Nurse practicing in Charlestown, IN. Throughout an active medical career spanning 1 years, Robert Samuels provided care at the practice location at 7509 CHARLESTOWN PIKE until profile deactivation on 2017-03-20.

Practice Location & Contact Primary Location

Practice Address

7509 Charlestown Pike

Charlestown, IN 471119623

Telephone 8122564686
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Charlestown, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Charlestown, IN (590 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License IN 27052694A

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Janet Hilderbrand

Counselor - Addiction (Substance Use Disorder)

NPI 1003275488
Jennifer Duvall , MSSW, LSW

Counselor - Addiction (Substance Use Disorder)

NPI 1003312463

MSSW, Licensed Social Worker

Yvonne Vallandingham

Licensed Practical Nurse

NPI 1013247881
Mallisa Swartz

Licensed Practical Nurse

NPI 1033576509
Bobbi Willis

Counselor - Addiction (Substance Use Disorder)

NPI 1053640276
Brittney Wright

Counselor - Addiction (Substance Use Disorder)

NPI 1063218253

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 20, 2017

Record deactivated on March 20, 2017

NPI Profile Active January 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2016

Registered at 7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 471119623 (Tel: 8122564686)

📍
Updated Business Mailing Address January 28, 2016

Registered at 7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 471119623 (Tel: 8122564686)

👤
Provider Name / Credentials Updated January 28, 2016

Recorded as ROBERT SAMUELS, NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2016

Licensed Practical Nurse (License #27052694A in IN)

🟢
Initial NPI Registration & Enumeration January 28, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Robert Samuels. Be the first to share your experience!

Sign in to leave a review for Robert Samuels

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619334174
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2016
Last Update: January 28, 2016
Deactivation Date: March 20, 2017

Mailing Address

7509 Charlestown Pike

Charlestown, IN 471119623

Phone: 8122564686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.