ELIZABETH A SAMUELS (NPI# 1053369439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053369439 |
Entity Type | Individual |
Full Name | ELIZABETH A SAMUELS |
Credential | NP |
Practice Address |
7592 Broadway Lemon Grove Family Health Center Lemon Grove CA 91945 |
Mailing Address |
12303 San Jose Blvd Jacksonville FL 32223-2640 |
Practice Telephone | 6195152550 |
Practice Fax Number | 6193370525 |
Mailing Telephone | 9042880277 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2018-11-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
18811 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
684081 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558885582 | Elizabeth Samuels | Nurse Practitioner | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2017-08-01 |
1487082020 | Elizabeth E Samuels | Internal Medicine | 1505 W Sherman Ave, Vineland, NJ 08360-6912 | 2013-10-16 |
1356601231 | Elizabeth Anne Samuels | Emergency Medicine | 367 Cedar St, New Haven, CT 06510-3222 | 2012-05-24 |
Street Address |
7592 BROADWAY LEMON GROVE FAMILY HEALTH CENTER |
City | LEMON GROVE |
State | CA |
Zip Code | 91945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316471519 | Amanda L. Marriage | Psychologist | 7592 Broadway, Lemon Grove, CA 91945-1604 | 2017-04-13 |
1578993788 | Jessica Rose Toth | Nurse Practitioner | 7592 Broadway, Lemon Grove, CA 91945-1604 | 2013-11-25 |
1780961417 | Shannon M. Goddard | Physician Assistant | 7592 Broadway, Lemon Grove, CA 91945-1604 | 2011-11-09 |
1427282466 | Family Health Centers of San Diego, Inc | Clinic/Center | 7592 Broadway, Lemon Grove, CA 91945-1604 | 2009-05-05 |
1184886186 | Gilberto Cota | Family Medicine | 7592 Broadway, Lemon Grove, CA 91945 | 2008-06-30 |
1093976748 | Joseph Nadim Sleiman | Pediatrics | 7592 Broadway, Lemon Grove, CA 91945-1604 | 2008-06-24 |
1629289400 | Yuhee Kim | Family Medicine | 7592 Broadway, Lemon Grove, CA 91945 | 2007-05-24 |
1932329505 | David Eaton Fleming | Physician Assistant | 7592 Broadway, Lemon Grove, CA 91945-1604 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093347759 | Myisha Michelle Holloway-griffin | Counselor | 2409 Skyline Dr, Lemon Grove, CA 91945 | 2020-02-10 |
1831737626 | Jennifer Murillo | Counselor | 2049 Skyline Dr. Lemon Grove Ca, 91945, Lemon Grove, CA 91945 | 2019-12-12 |
1487193140 | Golden State Nem Transportation.llc | Non-emergency Medical Transport (VAN) | 7107 Broadway Unit 158, Lemon Grove, CALIFORNIA 91945 | 2017-02-14 |
1700323581 | Juuni Transportation | Non-emergency Medical Transport (VAN) | 7138 Westview Pl #a, Lemon Grove, CA 91945 | 2017-01-31 |
1568815249 | Danyelle Goldstein | Substance Abuse Rehabilitation Facility | 2049 Sklyline Dr, Lemon Grove, CA 91945 | 2016-07-19 |
1942550397 | Debora L Stolz | Case Manager/Care Coordinator | 3434 Lemon Grove St, Lemon Grove, CA 91945 | 2012-09-13 |
1336449321 | Leslie Ann Warner | Counselor | 7526 Mt. Vernon St, Lemon Grove, CA 91945 | 2010-10-25 |
1013235126 | Mcalister Institute | Case Management | 2049 Skyline Drive, Lemon Grove, CA 91945 | 2010-05-13 |
1639389554 | Jarbou & Jarbou, Inc | Secured Medical Transport (VAN) | 6975 North Ave, Lemon Grove, CA 91945 | 2007-05-22 |
1275656555 | Amy L Stewart | Physical Therapist | 4171 Las Palmas Square, San Diego, CA 91945 | 2007-04-09 |
Find all providers in zip 91945 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316504590 | Adrian Sabalboro | Nurse Practitioner | 1450 E Cooley Dr, Colton, CA 92324-3933 | 2019-05-23 |
1255650537 | Shelly Anne Ferrari | Nurse Practitioner | 623 N Cullen Ave, Glendora, CA 91741-2124 | 2010-05-25 |
1598986192 | Lily Pe Khoshaba | Nurse Practitioner | 6596 N Winton Way, Winton, CA 95388-9532 | 2007-05-01 |
1235273749 | Dave Mallari Usman | Nurse Practitioner | 17982 Sky Park Cir Ste J, Irvine, CA 92614-6482 | 2007-02-16 |
1366584534 | Maria A Lascuna | Nurse Practitioner | 826 E Manning Ave, Reedley, CA 93654-2232 | 2007-02-13 |
1245371707 | Darla Schmunk | Nurse Practitioner | 43563 Hwy 299, Fall River Mills, CA 96028-0337 | 2007-02-09 |
1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
1972649275 | Charlene Ruth Williams | Nurse Practitioner | 670 Placerville Dr Ste 1b, Placerville, CA 95667-4200 | 2007-01-30 |
1578103800 | Gryan Eroll Robles Garcia | Nurse Practitioner | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2020-01-15 |
1457827768 | Melissa Leigh Fluharty | Nurse Practitioner | 5362 Lemee Ln, Mariposa, CA 95338-9556 | 2018-10-15 |
Find all providers with the same taxonomy |
City | LEMON GROVE |
Zip Code | 91945 |
Please comment or provide details below to improve the information on ELIZABETH A SAMUELS.
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.