Active NPIIndividual provider

Tykeia Samuel

Nurse Practitioner, Family in Brockton, Massachusetts

NPI Number1497209043
Practice location
179 Quincy St Ste 2, Brockton, MA 02302-2966
Fax
—
Last updated
May 12, 2025

Tykeia Samuel is a Nurse Practitioner, Family based in Brockton, MA. Tykeia Samuel practices in Brockton, MA. The NPI Number for Tykeia Samuel is 1497209043 and holds a License No. RN2294839 (MA). The current practice location address for Tykeia Samuel is 179 Quincy St Ste 2, Brockton, MA 02302-2966 and can be reached out via phone at 617-237-6838.

Provider Profile Details

NPI Number
1497209043
Provider Name
Tykeia Samuel
Provider Entity Type
Individual
Gender
Female
Address
179 Quincy St Ste 2, Brockton, MA 02302-2966
Phone Number
617-237-6838
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 12, 2016
Last Update Date
May 12, 2025
Certification Date
May 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
179 Quincy St Ste 2
Brockton, MA 02302-2966
Zip
02302-2966
Phone Number
617-237-6838
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
179 Quincy St Ste 2
Brockton, MA 02302-2966
City
Brockton
State
MA
Zip
02302-2966
Phone Number
508-283-3154
Fax Number
833-450-5159

License Information

License Number
RN2294839
License State
MA
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tykeia Samuel?

The NPI number of Tykeia Samuel is 1497209043. It was assigned on August 12, 2016 and is currently active in the NPPES registry.

What is the specialty of Tykeia Samuel?

Tykeia Samuel is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2294839.

Where does Tykeia Samuel practice?

The practice location is 179 Quincy St Ste 2, Brockton, MA 02302-2966. The office can be reached at 617-237-6838 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497209043 directly on the NPPES registry website.

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