Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mr. Samuel Emmanuel Dickerson, LPN

Licensed Practical Nurse in Roosevelt, NY · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902139447

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Registry record

Entity type Individual (Type 1)

Name Mr. Samuel Emmanuel Dickerson

Credential LPN

Sex Male

Practice address Roosevelt, NY, 11575

Phone (516) 481-3421

Fax (516) 665-3798

Enumeration date Sep 16, 2009

Last updated in NPPES Sep 16, 2009

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

164W00000X Licensed Practical Nurse Nursing Service Providers · License 241150-1 (NY) Primary

LPN · Licensed Practical Nurse: A nurse providing basic care under the direction of RNs and physicians. About the LPN credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Samuel Dickerson practice?

The practice location on file with NPPES is in Roosevelt, NY. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Samuel Dickerson?

The National Provider Identifier (NPI) for Samuel Dickerson is 1902139447, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-16.