SAMANTHA K POLK (NPI# 1417357542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417357542 |
| Entity Type | Individual |
| Full Name | SAMANTHA K POLK |
| Credential | FNP-C |
| Practice Address |
2072 N County Road 700 W Richland IN 47634-9480 |
| Mailing Address |
109 Us Highway 66 E Tell City IN 47586-2755 |
| Practice Telephone | 8129718228 |
| Practice Fax Number | 8123594481 |
| Mailing Telephone | 8125474176 |
| Mailing Fax Number | 8125474406 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71005191A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71005191A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2710 Heartland Crossing Blvd, Owensboro, KY 423039480 | 2709263774 | 2704781417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003435041 | Samantha Polk | Counselor | 1906 Bataan Rd Apt 1, Redondo Beach, CA 90278-1330 | 2020-04-09 |
| Street Address |
2072 N COUNTY ROAD 700 W |
| City | RICHLAND |
| State | IN |
| Zip Code | 47634-9480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245309939 | Rebekah Ann Wittman | Chiropractor | 2072 N County Road 700 W, Richland, IN 47634-9480 | 2006-11-07 |
| 1982268546 | Ila R Mason | Family Medicine | 2072 N County Road 700 W, Richland, IN 47634-9480 | 2019-04-29 |
| 1710494737 | Speech Works Spencer County LLC | Speech-Language Pathologist | 2072 N County Road 700 W, Richland, IN 47634-9480 | 2017-12-29 |
| 1801314802 | Casey Marie Hillenbrand | Nurse Practitioner | 2072 N County Road 700 W, Richland, IN 47634-9480 | 2017-08-30 |
| 1427403732 | Rmc Medical Center | Specialist | 2072 N County Road 700 W, Richland, IN 47634-9480 | 2016-04-25 |
| 1538534011 | Glenda D Kebortz | Nurse Practitioner | 2072 N County Road 700 W, Richland, IN 47634-9480 | 2015-12-09 |
| 1548541774 | Richland Medical Center, LLC | Specialist | 2072 N County Road 700 W, Richland, IN 47634-9480 | 2011-09-01 |
| 1902036916 | Wittman Family Chiropractic LLC | Chiropractor | 2072 N County Road 700 W, Richland, IN 47634-9480 | 2009-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932693330 | Robin M Strahl | Nurse Practitioner | 4088 N State Road 161, Richland, IN 47634 | 2018-06-19 |
| 1053837849 | Haley Marie Miller | Student in an Organized Health Care Education/Training Program | 4325 W County Road 400 N, Richland, IN 47634 | 2017-08-14 |
| 1568720852 | Lana Bunner | Counselor | 928 Sycamore St Suite 2, Rockport, IN 47634-0247 | 2012-04-25 |
| 1285873828 | Melissa Snodgrass Martin | Contractor | 8626 W Parker St, Richland, IN 47634-9030 | 2009-02-04 |
| 1396396842 | Richland Family Practice | Clinic/Center | 4088 N State Road 161, Richland, IN 47634-9467 | 2019-09-26 |
| 1396369278 | Caritas Counseling Solutions LLC | Social Worker | 51 N County Road 600 W, Richland, IN 47634-9517 | 2020-06-05 |
| 1144845587 | Caritas Counseling Solutions LLC | Social Worker | 51 N County Road 600 W, Richland, IN 47634-9517 | 2020-06-11 |
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| 1972970861 | Kairul S Lehardi | Nurse Practitioner | 1100 Goethals Dr. Ste B, Richland, WA 99352 | 2015-08-26 |
| 1508244815 | Aron Christian Steward | Nurse Practitioner | 1100 Goethals Drive Ste B, Kadlec Neuroscience Center, Richland, WA 99352 | 2015-05-07 |
| 1841396413 | Christy B Masterman | Nurse Practitioner | 104 Columbia Point Dr, Richland, WA 99352-4387 | 2006-09-14 |
| 1083634620 | Jason S Glade | Nurse Practitioner | 1268 Lee Boulevard, Richland, WA 99352 | 2006-07-19 |
| 1588690523 | Michelle E Chinn | Nurse Practitioner | 900 Stevens Dr, Suite 101, Richland, WA 99352-3509 | 2006-06-23 |
| 1154375673 | Kathy Horsager | Nurse Practitioner | 1268 Lee Blvd, Richland, WA 99352 | 2006-05-20 |
| 1427656669 | Kelsey M Charles | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2020-10-10 |
| 1801428818 | Vi-thao Huynh Le | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2020-02-07 |
| 1487291639 | Jessica Dawn Miller | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2019-12-06 |
| Find all providers in RICHLAND | ||||
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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.