Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shamelia Shantey Anglin Samuel

Individual provider Primary Care Clinic/Center · NPI 1457126559

Shamelia Shantey Anglin Samuel is a Nurse Practitioner in Brooklyn, New York. Qualified in 2023, 3 years ago. Practices as a sole proprietor.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

451 Clarkson Ave
Brooklyn, NY 11203-2054
Phone: (718) 245-4620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1457126559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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