MRS. LEENA SAMUEL SAJ (NPI# 1649888439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649888439 |
| Entity Type | Individual |
| Full Name | MRS. LEENA SAMUEL SAJ |
| Other Name | LEENA SAMUEL |
| Credential | CRNP |
| Practice Address |
12145 Elm St Princess Anne MD 21853-1358 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4106515135 |
| Practice Fax Number | 4106514682 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R174486 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Street Address |
12145 ELM ST |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566790 | Juan Carlos Zelaya | Physician Assistant | 12145 Elm St, Princess Anne, MD 21853-1358 | 2005-05-23 |
| 1942800834 | Colleen Amber Snitzer | Social Worker | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-10-29 |
| 1447886205 | Madalyne Suzanne Adams | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2020-03-12 |
| 1639722259 | Rachel Nicole Thomas | Social Worker | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-07-23 |
| 1265085021 | Robin Jinette Kristall | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-07-22 |
| 1396306270 | James Alan Porter | Registered Nurse | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-06-22 |
| 1518520832 | Devon Adam Bryant Jr. | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-04-22 |
| 1841763448 | Walter Holmes | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2019-01-07 |
| 1578035093 | Kevin King | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2018-12-21 |
| 1144707100 | Julie Megan Garner | Counselor | 12145 Elm St, Princess Anne, MD 21853-1358 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184850240 | Julianne Judge Mcbride | Nurse Practitioner | 30068 Arbor Acre Dr, Princess Anne, MD 21853-2827 | 2009-06-03 |
| 1528619509 | Tisa Massey Parsons | Nurse Practitioner | 30434 Mount Vernon Rd, Princess Anne, MD 21853-1400 | 2019-09-22 |
| 1962765404 | Deborah Lynn Anderson | Nurse Practitioner | 12145 Elm St, Princess Anne, MD 21853-1358 | 2012-06-20 |
| 1811086838 | Joayne Marie Kerry-turner | Nurse Practitioner | 12145 Elm Street, Princess Anne, MD 21853 | 2006-10-11 |
| 1437128980 | Nancy E Drewer | Nurse Practitioner | 12145 Elm St, Princess Anne, MD 21853-1358 | 2006-03-16 |
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|---|---|---|---|---|
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| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
| 1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
| 1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
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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.