JODELL C SAMS CRNFA, LLC (NPI# 1285290577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285290577 |
| Entity Type | Organization |
| Organization Name | JODELL C SAMS CRNFA, LLC |
| Practice Address |
2911 Country Club Dr Pueblo CO 81008-1202 |
| Practice Telephone | 7192402008 |
| Mailing Telephone | 7192402008 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | JODELL C WARNER (OWNER) |
| Authorized Official Telephone | 7192402008 |
| Authorized Official Credential | CRNFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Jodell C Sams CRNFA, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578129839 | Jodell C Sams Crnfa, LLC | Physician Assistant | 2911 Country Club Dr, Pueblo, CO 81008-1202 | 2019-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | JODELL C SAMS CRNFA, LLC | 1676 Camino De Los Ranchos, Pueblo, CO 81007 |
| Street Address |
2911 COUNTRY CLUB DR |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104117464 | Jodell Carey Sams | Registered Nurse | 2911 Country Club Dr, Pueblo, CO 81008-1202 | 2011-04-21 |
| 1578129839 | Jodell C Sams Crnfa, LLC | Physician Assistant | 2911 Country Club Dr, Pueblo, CO 81008-1202 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104117464 | Jodell Carey Sams | Registered Nurse | 2911 Country Club Dr, Pueblo, CO 81008-1202 | 2011-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477191302 | Erica Frank First Assisting Service LLC | Registered Nurse | 3231 Hearthridge Cir, Colorado Springs, CO 80918-5845 | 2019-12-10 |
| 1093363988 | Casey P Hastings | Registered Nurse | 14383 Double Dutch Cir, Parker, CO 80134-8866 | 2019-09-03 |
| 1891340659 | Jennifer Hays | Registered Nurse | 7367 Serena Dr, Castle Pines, CO 80108-8114 | 2019-08-07 |
| 1568941367 | Patrick B Fleming | Registered Nurse | 1470 Almagre Peak Dr, Colorado Springs, CO 80921-3659 | 2018-08-13 |
| 1174030951 | Carol Mae Meier | Registered Nurse | 3865 Rawhide Cir, Castle Rock, CO 80104-7866 | 2018-01-03 |
| 1417495045 | Stacey M Simmons | Registered Nurse | 3368 Ashworth Ave, Highlands Ranch, CO 80126-7581 | 2017-02-02 |
| 1356890735 | Bridget's Surgical First Assist | Registered Nurse | 1815 Central Park Dr, Ste 110 Pmb 231, Steamboat Springs, CO 80487-8885 | 2016-09-27 |
| 1215328877 | Kathleen Miller | Registered Nurse | 967 Jordache Dr, Loveland, CO 80538-1586 | 2015-02-17 |
| 1902205909 | Benjamin Miles Maxwell | Registered Nurse | 601 N 4th St, Montrose, CO 81401-3519 | 2014-08-15 |
| 1780934786 | Carolyn Geraldine Shunk | Registered Nurse | 6001 Woodmen Rd, Colorado Springs, CO 80923-2601 | 2012-09-17 |
| 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.