MEDICARE: CAITLYN EMILEE SAMUEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer		LA

General Provider Information

NPI Number	:	1346171238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLYN EMILEE SAMUEL

Provider Business Mailing Address
First Line	:	334 RED MAPLE DR
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70448-1090
Country	:	US
Telephone Number	:	985-630-7225
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 RED MAPLE DR
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70448-1090
Country	:	US
Telephone Number	:	985-630-7225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

Similar Medicare Providers

1962289447 — DR. BRANDI KELLY PHD
Practice Location Address:

310 RED MAPLE DR
MANDEVILLE, LA
70448-1090

Practice Phone: 985-778-9574
Practice Fax:

1013053818 — MICHELE MARIE COOPER M.D.
Practice Location Address:

1090 W CAUSEWAY APPROACH
MANDEVILLE, LA
70471-3036

Practice Phone: 985-626-6163
Practice Fax: 985-626-6249

1770341778 — LORI MELANCON
Practice Location Address:

1090 W CAUSEWAY APPROACH
MANDEVILLE, LA
70471-3036

Practice Phone: 504-234-2308
Practice Fax:

1346178449 — JANIYAH DAMARIA BRUMFIELD
Practice Location Address:

800 N CAUSEWAY BLVD STE 3A
MANDEVILLE, LA
70448-4664

Practice Phone: 985-298-2739
Practice Fax: 866-500-2186

1437087244 — KRISTIN GRAYCE BARBER
Practice Location Address:

2810 E CAUSEWAY APPROACH
MANDEVILLE, LA
70448-3502

Practice Phone: 985-875-2340
Practice Fax:

1225965437 — MACKENZIE RAE MENDOZA
Practice Location Address:

800 N CAUSEWAY BLVD # 3
MANDEVILLE, LA
70448-4664

Practice Phone: 877-418-2978
Practice Fax: 866-500-2186

Directions to “ CAITLYN EMILEE SAMUEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.