SAMANTHA RENE PICKRELL (NPI# 1295377224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295377224 |
| Entity Type | Individual |
| Full Name | SAMANTHA RENE PICKRELL |
| Credential | APRN |
| Practice Address |
244 N Congress Ave Ste 2a Boynton Beach FL 33426-4212 |
| Practice Telephone | 5617344535 |
| Practice Fax Number | 5617347530 |
| Mailing Telephone | 5617344535 |
| Mailing Fax Number | 5617347530 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 9408685 | FL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 11004061 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
244 N CONGRESS AVE STE 2A |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-4212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| 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 |
|---|---|---|---|---|
| 1689213118 | Susan Burns | Nurse Practitioner | 6368 Lansdowne Cir, Boynton Beach, FL 33472-5107 | 2020-01-01 |
| 1598326571 | Kelly Ann Ferrara | Nurse Practitioner | 8212 White Rock Cir, Boynton Beach, FL 33436-1744 | 2019-06-21 |
| 1790344497 | Ruth Estriplet | Nurse Practitioner | 4123 Heartstone Pl, Boynton Beach, FL 33436-9433 | 2019-06-07 |
| 1841765625 | Mary Angela Garrity-ayrosa | Nurse Practitioner | 2859 Se 1st Pl, Boynton Beach, FL 33435-7603 | 2018-10-09 |
| 1760966428 | Rose Fernande Toussaint | Nurse Practitioner | 6080 W Boynton Beach Blvd, Boynton Beach, FL 33437-3588 | 2018-09-19 |
| 1043713530 | Shellyann Timmons | Nurse Practitioner | 8756 Boynton Beach Blvd Ste 2500, Boynton Beach, FL 33472-4470 | 2018-03-12 |
| 1043751449 | Kimberly Harris | Nurse Practitioner | 4805 Purdue Dr, Boynton Beach, FL 33436-7721 | 2017-03-17 |
| 1568904563 | Tyler Adams | Nurse Practitioner | 2536 Sw 10th St, Boynton Beach, FL 33426-7403 | 2016-11-08 |
| 1669898896 | Leslie F. Coughlan, Np Pa | Nurse Practitioner | 2623 S. Seacrest Blvd., Suite.116, Boynton Beach, FL 33435-7531 | 2014-03-12 |
| 1811251911 | Jimmy Lafaille | Nurse Practitioner | 200 Knuth Rd Ste 214b, Boynton Beach, FL 33436-4636 | 2012-07-03 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
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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.