SAMANTHA J JIRAK (NPI# 1619442803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619442803 |
| Entity Type | Individual |
| Full Name | SAMANTHA J JIRAK |
| Other Name | SAMANTHA JO FERGUSON |
| Credential | DNP |
| Practice Address |
504 N 9th Ave Vinton IA 52349-2254 |
| Mailing Address |
4191 Carole Ct Center Point IA 52213-9511 |
| Practice Telephone | 3194726300 |
| Mailing Telephone | 3193613837 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2019-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A136122 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
504 N 9TH AVE |
| City | VINTON |
| State | IA |
| Zip Code | 52349-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326023391 | Brian W Meeker | Family Medicine | 504 N 9th Ave, Vinton, IA 52349-2254 | 2005-12-13 |
| 1548676810 | Alison Lagrange | Nurse Practitioner | 504 N 9th Ave, Vinton, IA 52349-2254 | 2014-07-08 |
| 1750637484 | Chelsea Renea Peoples | Physician Assistant | 504 N 9th Ave, Vinton, IA 52349-2254 | 2012-07-31 |
| 1023216413 | Margaret K Mangold | Family Medicine | 504 N 9th Ave, Vinton, IA 52349-2254 | 2007-07-06 |
| 1447293063 | Virginia Gay Hospital, Inc | Family Medicine | 504 N 9th Ave, Vinton, IA 52349-2254 | 2006-06-13 |
| 1649255639 | Michelle Elgin | Family Medicine | 504 N 9th Ave, Vinton, IA 52349-2254 | 2005-12-13 |
| 1053396036 | Harold E Vanscoy | Physician Assistant | 504 N 9th Ave, Vinton, IA 52349-2254 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154870079 | Peyton Frank | Marriage & Family Therapist | 411 A Avenue, Vinton, IA 52349 | 2016-10-04 |
| 1437591229 | James Andrew Mcloughlin | Physician Assistant | 502 N 9th Avenue, Vinton, IA 52349 | 2013-07-23 |
| 1821335167 | Advanced Eyecare Associates of Eastern Iowa Vinton PC | Optometrist | 1113 W 3rd St, Box 397, Vinton, IA 52349 | 2013-01-07 |
| 1972875870 | Emily Rachel Stone | Physical Therapist | 502 N. 9th Ave, Vinton, IA 52349 | 2012-02-08 |
| 1467674630 | Windsor Manor | Assisted Living Facility | 1807 W 5th Street, Vinton, IA 52349 | 2007-05-03 |
| 1194811976 | Jonathan Roy Clingman | Pharmacist | 106 East 4th St., Vinton, IA 52349 | 2006-10-05 |
| 1356350243 | Alan Stanley Woodhouse | Dentist | 207 E 4th Street, Vinton, IA 52349 | 2006-08-07 |
| 1518975770 | Cedar Valley Ranch | Community Based Residential Treatment Facility, Mental Illness | 2591 61st Street Lane, Vinton, IA 52349 | 2006-08-04 |
| 1952772170 | Vanessa Leah West | Counselor | 100 W 4th Street, Vinton, IA 52349 | 2015-10-14 |
| 1831271998 | Lagrange Pharmacy Inc | Pharmacy | 111 W 4th St, Vinton, IA 52349 | 2006-10-19 |
| Find all providers in zip 52349 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659762839 | Derrick Thibodeaux | Nurse Practitioner | 1303 Horridge St, Vinton, LA 70668-4531 | 2015-02-10 |
| 1265427280 | Jesus L Martinez | Nurse Practitioner | 141 Vinton Rd, E5, Vinton, TX 79821-8809 | 2005-09-15 |
| 1750386140 | Lance Waldmeier | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2005-06-14 |
| 1548894256 | Karen Renee Fuller | Nurse Practitioner | 415 S Pollard St, Vinton, VA 24179-2502 | 2020-03-03 |
| 1700323862 | Elizabeth Joy Meyer | Nurse Practitioner | 1803 C Ave, Vinton, IA 52349-1691 | 2017-01-27 |
| 1427500115 | Alison Coleman | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2016-10-27 |
| 1174870786 | Robbin Cutlip Oliver | Nurse Practitioner | 415 S Pollard St, Vinton, VA 24179-2502 | 2012-08-14 |
| 1912024522 | Valarie Philliber Waldmeier | Nurse Practitioner | 1611 Hampton St, Vinton, LA 70668-3707 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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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.