SAMANTHA HEAD (NPI# 1023571759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023571759 |
| Entity Type | Individual |
| Full Name | SAMANTHA HEAD |
| Practice Address |
5216 Clayton Ct Fort Myers FL 33907-2116 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393438260 |
| Practice Fax Number | 2394242442 |
| Mailing Telephone | 2393438260 |
| Mailing Fax Number | 2393438261 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11001900 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102550700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164878526 | Samantha Head | Hearing Instrument Specialist | 2887 Alexandria Pike, Highland Heights, KY 41076-1511 | 2016-05-04 |
| 1376036590 | Samantha Head | Counselor | 2700 Westhall Ln Ste 207, Maitland, FL 32751-7478 | 2018-06-12 |
| 1669907721 | Samantha Head | Speech-Language Pathologist | 500 N Main St, Leeton, MO 64761-9238 | 2017-04-26 |
| Street Address |
5216 CLAYTON CT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295815298 | Christina Marie Brushaber | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2006-10-16 |
| 1669019907 | Maranda Earl | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-12-05 |
| 1871142430 | Kelly Ann Brown | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-09-06 |
| 1962964007 | Tiara Amber Phillips | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2019-04-05 |
| 1578082996 | Joshua Clayton Lomen | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2017-09-18 |
| 1437600285 | Justin William Harlacher | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2016-10-17 |
| 1871954339 | Ernesto Acosta | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2016-03-11 |
| 1629452271 | Jenevieve Perry | Nurse Practitioner | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2015-07-14 |
| 1235532474 | Jeffrey Jordan | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2014-10-02 |
| 1144623794 | Alexander Heisaku Iriarte | Physician Assistant | 5216 Clayton Ct, Fort Myers, FL 33907-2116 | 2014-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384154 | Melissa Connors | Nurse Practitioner | 15609 Fiddlesticks Blvd, Fort Myers, FL 33912-3902 | 2020-10-18 |
| 1982202412 | Amanda Shively | Nurse Practitioner | 7951 Reflection Cove Dr Apt 102, Fort Myers, FL 33907-6560 | 2020-10-16 |
| 1205433828 | Kenneth Midoneck | Nurse Practitioner | 4445 Kings Barn Ct Unit 305, Fort Myers, FL 33916-8031 | 2020-10-06 |
| 1881218246 | Miraleen Patel | Nurse Practitioner | 5710 Trailwinds Dr Apt 524, Fort Myers, FL 33907-8338 | 2020-06-02 |
| 1194350348 | Zuleima Lozada | Nurse Practitioner | 13691 Metro Pkwy Ste 110a, Fort Myers, FL 33912-4348 | 2020-03-09 |
| 1962034686 | Kathleen A Shelton | Nurse Practitioner | 9371 Cypress Lake Dr Ste 16, Fort Myers, FL 33919-4945 | 2020-02-11 |
| 1275173155 | Optimal Healing Healthcare Services, LLC | Nurse Practitioner | 10143 Chesapeake Bay Dr, Fort Myers, FL 33913-9184 | 2020-01-08 |
| 1033760731 | Jaclyn Mason | Nurse Practitioner | 18431 Hawthorne Rd, Fort Myers, FL 33967-3276 | 2019-09-24 |
| 1245894419 | Sonya Brielle Hayhurst | Nurse Practitioner | 16026 Via Solera Cir Apt 102, Fort Myers, FL 33908-7706 | 2019-04-23 |
| 1083175871 | Jackelin Smith | Nurse Practitioner | 10685 Essex Square Blvd, Fort Myers, FL 33913-2612 | 2019-03-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on SAMANTHA HEAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.