SAMANTHA KAY ROGERS (NPI# 1245706548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245706548 |
| Entity Type | Individual |
| Full Name | SAMANTHA KAY ROGERS |
| Credential | MMSN |
| Practice Address |
715 Broadway St Gillespie IL 62033-1166 |
| Mailing Address |
787 Sunset Blvd Ste 200 O Fallon IL 62269-1960 |
| Practice Telephone | 2178394491 |
| Practice Fax Number | 2178392689 |
| Mailing Telephone | 6187262229 |
| Mailing Fax Number | 6187262225 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209018361 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177723 | Samantha Jo Rogers | Dietitian, Registered | 117 Vanden St Apt 303, Jackson, TN 38301-5638 | 2020-06-02 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1558988287 | Samantha R Rogers | Behavior Technician | 613 Stephenson Ave Ste 206, Savannah, GA 31405-5841 | 2020-06-29 |
| 1568006294 | Samantha Rogers | Behavior Technician | 12222 S 1000 E Ste 3, Draper, UT 84020-3203 | 2019-11-06 |
| 1063074961 | Samantha Rogers | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-07-01 |
| 1255847349 | Samantha Rogers | Technician | 585 Jewett Rd, Mason, MI 48854-8729 | 2017-12-27 |
| 1336655208 | Samantha J Rogers | Physical Therapist | 217 E Bremer Ave, Waverly, IA 50677-3435 | 2017-12-14 |
| 1144572231 | Samantha Cari Rogers | Dietitian, Registered | 525 E 68th St, New York-presbyterian/weill Cornell, Suite 6-338d, New York, NY 10065-4870 | 2012-10-12 |
| 1013223049 | Samantha Daviney Rogers | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-08-27 |
| Street Address |
715 BROADWAY ST |
| City | GILLESPIE |
| State | IL |
| Zip Code | 62033-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870591 | Bruce Frank Weber | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
| 1609238518 | Mary Amanda Pittman | Nurse Practitioner | 715 Broadway St, Gillespie, IL 62033-1166 | 2016-03-22 |
| 1811389935 | Hollie Trettenero | Nurse Practitioner | 715 Broadway St, Gillespie, IL 62033-1166 | 2015-02-26 |
| 1497994727 | Jaclyn Joy Hake | Physician Assistant | 715 Broadway St, Gillespie, IL 62033-1166 | 2009-02-10 |
| 1194915074 | Macoupin Family Practice Center, LLP | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2007-07-27 |
| 1568652436 | Macoupin Family Practice Centers, LLP | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2007-07-27 |
| 1699899070 | Macoupin Family Practice Centers LLP | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2007-03-19 |
| 1477586121 | Jason K Manthei | Physician Assistant | 715 Broadway St, Gillespie, IL 62033-1166 | 2006-07-08 |
| 1992709984 | Chris Philip Poirot | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
| 1417951401 | Brian Lee Quarton | Family Medicine | 715 Broadway St, Gillespie, IL 62033-1166 | 2005-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596950 | Laura Michelle Halpin | Physical Therapist | 607 Litchfield Road, Gillespie, IL 62033 | 2019-03-12 |
| 1770942716 | Carol Candler | Nurse Practitioner | 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 | 2016-02-18 |
| 1932519618 | Terry Allan | Pharmacist | 113 South Macoupin Street, Gillespie, IL 62033 | 2014-05-02 |
| 1649414558 | Bernadette Kathlene Sobczak | Nurse Practitioner | 807 Broadway, Gillespie, IL 62033 | 2009-04-22 |
| 1376765206 | Sheri Lynne Banovic | Nurse Practitioner | 115 South Macoupin Street, Gillespie, IL 62033 | 2007-05-02 |
| 1215044920 | James Paul Verton | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
| 1427575612 | Beth Lynn Sies | Speech-Language Pathologist | 340 Kelly St, Gillespie, IL 62033 | 2017-08-28 |
| 1356599971 | Julia Terese Ruckman | Social Worker | 109 E Maple St, Gillespie, IL 62033 | 2008-09-08 |
| 1124135835 | Bruce W Hughes | Pharmacist | 120 S Macoupin, Dippold Drug Co Inc, Gillespie, IL 62033 | 2006-08-25 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| Find all providers in zip 62033 | ||||
| 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 |
|---|---|---|---|---|
| 1336522275 | Christina Elizabeth Ventimiglia-brandt | Nurse Practitioner | 109 E Maple St, Gillespie, IL 62033-1473 | 2015-07-08 |
| 1811389935 | Hollie Trettenero | Nurse Practitioner | 715 Broadway St, Gillespie, IL 62033-1166 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
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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.