ELIZABETH SAM (NPI# 1235533910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235533910 |
Entity Type | Individual |
Full Name | ELIZABETH SAM |
Credential | REGISTERED NURSE |
Practice Address |
1623 Hospital Loop Owyhee NV 89832-1200 |
Mailing Address |
Po Box 159 Owyhee NV 89832-0159 |
Practice Telephone | 7757572415 |
Practice Fax Number | 7757572066 |
Enumeration Date | 2014-10-09 |
Last Update Date | 2014-10-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R40849 | ND | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | RN LICENSE | R40849 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154828366 | Elizabeth Sam | Nurse Practitioner | 4025 Lawrenceville Hwy Nw, Lilburn, GA 30047-3013 | 2018-04-12 |
1447798590 | Elizabeth Sam | Nurse Practitioner | 18275 N 59th Ave, #138, Glendale, AZ 85308-1260 | 2017-02-09 |
Street Address |
1623 HOSPITAL LOOP |
City | OWYHEE |
State | NV |
Zip Code | 89832-1200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912205378 | Shoshone Paiute Tribes | Pharmacy | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2011-03-09 |
1265967962 | Tammy Wilson | Emergency Medical Technician, Basic | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2017-05-01 |
1164957742 | Shayanne Rose | Emergency Medical Technician, Basic | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2017-04-20 |
1578944526 | Kelly Helt | Registered Nurse | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2015-06-16 |
1891174082 | Quade Thomas | Emergency Medical Technician, Basic | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2015-05-21 |
1811394976 | Tanner Cavanaugh | Emergency Medical Technician, Basic | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2014-12-04 |
1790184554 | Shoshone Paiute Tribes | Clinical Medical Laboratory | 1623 Hospital Loop, Owyhee, NV 89832-1200 | 2014-08-18 |
1366876294 | Tifney Madalena | Licensed Practical Nurse | 1623 Hospital Loop, Owyhee, NV 89832 | 2013-08-28 |
1194158535 | Sharon Cummins | Nurse's Aide | 1623 Hospital Loop, Owyhee, NV 89832 | 2013-08-20 |
1821420548 | Christopher J Boswell | Registered Nurse | 1623 Hospital Loop, Owyhee, NV 89832 | 2013-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659872851 | Lucas Mason | Non-emergency Medical Transport (VAN) | 10764 Thomas Loop, Owyhee, NV 89832 | 2018-02-22 |
1184016610 | Danica Williams | Case Manager/Care Coordinator | 8644 Mason Lane, Bruneau, ID 89832 | 2015-02-20 |
1376896589 | Roper Ty Egan | Personal Emergency Response Attendant | 1623 Hospital Rd, Owyhee, NV 89832 | 2012-10-25 |
1528230224 | Shoshone-paiute Tribes | Clinic/Center | 1623 Hospital Road, Owyhee, NV 89832 | 2008-04-02 |
1265603435 | Ernesto Adolfo Borgards | Dentist | 130 Nv State Hwy 225, Owyhee, NV 89832 | 2008-03-17 |
1477736726 | Maxwell Johnson | Internal Medicine | Hwy 225, Owyhee, Owyhee, NV 89832 | 2007-12-10 |
1831391762 | Barbara Sue Burri | Dietitian, Registered | State Route 225, Owyhee Community Health Facility, Owyhee, NV 89832 | 2007-06-04 |
1932329216 | Joel L Bowers | Registered Nurse | Nv State Hwy 225, Owyhee, NV 89832 | 2007-04-27 |
1184055675 | Christopher Collett | Emergency Medical Technician, Intermediate | 1623 Hospital Loop Road, Owyhee, NV 89832 | 2013-12-09 |
1407287972 | Leilani Hanchor | Emergency Medical Technician, Basic | 1623 Hospital Loop Road, Owyhee, NV 89832 | 2013-12-09 |
Find all providers in zip 89832 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639422140 | Nancy June Munger | Registered Nurse | 1623 Hospital Loop, Owyhee, NV 89832 | 2012-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679114664 | Greta Yvette Scott | Registered Nurse | 1981 E Calvada Blvd Apt 100, Pahrump, NV 89048-6772 | 2019-10-01 |
1295398741 | Tammy Lea Ritter | Registered Nurse | 727 Fairview Dr, Suite A, Carson City, NV 89701 | 2019-04-19 |
1669949319 | Kendra Jo Poulsen | Registered Nurse | 297 Nevada Northern Rail Way Ste 5, Ely, NV 89301-2807 | 2018-10-31 |
1780057331 | Barbara Szerega | Registered Nurse | 3173 Pinehurst Dr., Las Vegas, NV 89109 | 2015-11-04 |
1689097735 | Lynda C Mccloskey | Registered Nurse | 330 South Valley View, Las Vegas, NV 89110 | 2014-01-27 |
1275955171 | Kara Lynn Bennis | Registered Nurse | 625 Shadow Ln Ste 106, Las Vegas, NV 89106-4118 | 2014-01-10 |
1609297977 | Marie Ricci | Registered Nurse | 560 N Nellis Blvd Ste E12, Las Vegas, NV 89110-5371 | 2014-01-03 |
1760728059 | Sarah Hamrick | Registered Nurse | 1981 E Calvada Blvd Ste 100, Pahrump, NV 89048-5834 | 2012-12-14 |
1295876407 | Patricia Montalvo | Registered Nurse | 11076 Romola St, Las Vegas, NV 89141-3410 | 2007-02-09 |
1851911572 | Graciela Vaya | Registered Nurse | 3468 E Sahara Ave Ste 105, Las Vegas, NV 89104-4827 | 2020-04-22 |
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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.