MRS. SAMANTHA A EITING


Address: W3208 Van Roy Rd, Appleton, WI 54915-4086
Phone: 8664558111

MRS. SAMANTHA A EITING (NPI# 1972035061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972035061
Entity Type Individual
Full Name MRS. SAMANTHA A EITING
Other Name MISS SAMANTHA A KANTELBERG
Credential APNP
Practice Address W3208 Van Roy Rd
Appleton
WI 54915-4086
Mailing Address Po Box 8003
Appleton
WI 54912-8003
Practice Telephone 8664558111
Mailing Telephone 9208305900
Mailing Fax Number 9207385787
Enumeration Date 2017-03-29
Last Update Date 2017-03-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 178207 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address W3208 VAN ROY RD
City APPLETON
State WI
Zip Code 54915-4086

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437341385 Christine Annette Klawiter Emergency Medicine W3208 Van Roy Rd, Appleton, WI 54915-4086 2007-08-14
1932532751 Nathan Paul Cichocki Pharmacist W3208 Van Roy Rd, Appleton, WI 54915-4086 2013-08-15
1407297369 Sarah Kane Pharmacist W3208 Van Roy Rd, Appleton, WI 54915-4086 2013-07-08
1760665160 Shopko Stores Operating Co LLC Pharmacy W3208 Van Roy Rd, Appleton, WI 54915 2007-12-10
1114100518 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) W3208 Van Roy Rd, Appleton, WI 54915 2007-12-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205466737 Leyes Robers Dental LLC Dentist 3216 W County Rd Kk, Appleton, WI 54915 2020-01-23
1912426958 Shanna L. Larsen Registered Nurse 1101 E. South River St., Appleton, WI 54915 2017-09-11
1477082816 Amy Fazel Driver 226 E Calumet St, Appleton, WI 54915 2017-06-08
1871940213 B.a.israel LLC Community Based Residential Treatment Facility, Mental Illness N9520 Silver Court, Appleton, WI 54915 2016-05-16
1982933479 Stephanie I. Braski Counselor 1531 S. Oneida St, Appleton, WI 54915 2009-12-14
1386808319 Shawn S Williamson Emergency Medicine 1506 South Oneida Street, Appleton, WI 54915 2008-07-18
1700040870 Heidi Jo Van Toll Occupational Therapist 1335 S Oneida Street, Appleton, WI 54915 2008-07-17
1669639142 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center N9642 County Rd N, Appleton, WI 54915 2008-05-21
1265699748 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1531 S Madison St Fl 4, Appleton, WI 54915 2008-05-21
1073770558 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1531 S Madison St Ste 580, Appleton, WI 54915 2008-05-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477070308 Tamara Marie A Marshall Nurse Practitioner 5605 W Waterford Ln, Appleton, WI 54913-8438 2017-08-22
1871748418 Tammy E Weyenberg Nurse Practitioner 3962 N Richmond St, Appleton, WI 54913-7153 2008-11-24
1396802823 Ellen Pitsch Nurse Practitioner 2809 N. Park Drive Lane, Appleton, WI 54911 2007-01-03
1629024823 Deborah S Colon Nurse Practitioner 30 S Behl St, Appleton, MN 56208-1616 2006-05-26
1871541342 Kimberly Williams Nurse Practitioner 1616 N Casaloma Dr Ste 100, Appleton, WI 54913-8245 2006-05-05
1659363778 Pam E Verkuilen Nurse Practitioner 5320 W Michaels Drive, Appleton, WI 54913 2005-08-16
1053918524 Nicole Anne Vannoie Nurse Practitioner 2500 E Capitol Dr, Appleton, WI 54911-8735 2020-10-07
1306454053 Samantha L Thiede Nurse Practitioner 1818 N Meade St, Appleton, WI 54911-3454 2020-07-20
1215556824 Cheryl E Christensen Nurse Practitioner 2500 E Capitol Dr, Appleton, WI 54911-8735 2020-04-14
1902467731 Danielle L Leick Nurse Practitioner 1818 N Meade St, Appleton, WI 54911-3454 2019-06-24
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Competitor

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City APPLETON
Zip Code 54915

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Dataset Information

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.

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