MRS. KEENA S SAMUELS (NPI# 1184949620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184949620 |
| Entity Type | Individual |
| Full Name | MRS. KEENA S SAMUELS |
| Credential | ANP |
| Practice Address |
20507 Hillside Ave Suite #28 Hollis NY 11423-2222 |
| Practice Telephone | 9175741655 |
| Mailing Telephone | 9175741655 |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
305351 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20507 HILLSIDE AVE SUITE #28 |
| City | HOLLIS |
| State | NY |
| Zip Code | 11423-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831171131 | Jeffrey Howard Litwin | Podiatrist | 20507 Hillside Ave, Suite 18, Hollis, NY 11423-2220 | 2005-11-14 |
| 1750764007 | Alexander Gumbs | Nurse Practitioner | 20507 Hillside Ave, Suite 28, Hollis, NY 11423-2222 | 2015-07-06 |
| 1932347879 | Raymond T. Jones Md, PC | Clinic/Center | 20507 Hillside Ave, Suite #4, Hollis, NY 11423-2220 | 2009-01-30 |
| 1780829747 | Hillside Family Dental PC | Dentist | 20507 Hillside Ave, Hollis, NY 11423-2220 | 2008-12-04 |
| 1548478043 | Bibi Y Alley | Occupational Therapy Assistant | 20507 Hillside Ave, Suite 20-23, Hollis, NY 11423-2220 | 2007-05-18 |
| 1942425228 | Paul F Schneider | Counselor | 20507 Hillside Ave, Suite 5-9, Hollis, NY 11423-2220 | 2007-04-13 |
| 1245350628 | Patricia A Otoole | Counselor | 20507 Hillside Ave, Suite 5-9, Hollis, NY 11423-2220 | 2007-03-30 |
| 1649390832 | Linda Savino | Counselor | 20507 Hillside Ave, Suite 20-23, Hollis, NY 11423-2220 | 2007-03-30 |
| 1245308261 | Yvonne Claudette Caton | Dentist | 20507 Hillside Ave, Suite 17, Hollis, NY 11423 | 2006-11-30 |
| 1528140837 | Jane L. Chio | Pediatrics | 20507 Hillside Ave, Suite 3, Hollis, NY 11423 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112668 | Mandip Kaur | Student in an Organized Health Care Education/Training Program | 89 - 06 - 188 Street, First Floor, Hollis, NY 11423 | 2019-12-23 |
| 1437633690 | Lisa Martins-mueller | Speech-Language Pathologist | 90-11 191 St Avenue, Nyc School District 29 Superintendents Office, Hollis, NY 11423 | 2018-09-23 |
| 1114407491 | Moamen Mohamed Hassanen | Physical Therapist | 204-12 Hillside Ave, Hollis, NY 11423 | 2018-08-16 |
| 1114403730 | Favour Osemwota | Licensed Practical Nurse | 10036 203rd St, Hollis, NY 11423 | 2018-07-17 |
| 1417448234 | Hollis Primary Care P.C. | Internal Medicine | 196 22 Hillside Ave, Hollis, NY 11423 | 2018-05-29 |
| 1801309984 | Roh Physical Therapy P.C. | Clinic/Center | 205-16 Jamaica Ave, Hollis, NY 11423 | 2017-11-10 |
| 1780113167 | Lissamma George | Registered Nurse | 88 45 199 Street, Queens, NY 11423 | 2017-06-08 |
| 1881121499 | Calvin Wu | Case Manager/Care Coordinator | 8762 188th Street, Hollis, NY 11423 | 2017-05-12 |
| 1932635182 | Lauren Irene Sutherland | Licensed Practical Nurse | 10216 Farmers Blvd, Hollis, NY 11423 | 2017-05-10 |
| 1023541190 | Gwyneth Julien-squire | Licensed Practical Nurse | 190-25 Woodhull Apt. 3h, Hollis, NY 11423 | 2017-04-06 |
| Find all providers in zip 11423 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821148222 | Caroline Amenaghawon Ugbogbo | Nurse Practitioner | 19616 Hillside Ave, Hollis, NY 11423-2125 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
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| 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.