JENNIFER MEAD-SAMUELS (NPI# 1366482333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366482333 |
| Entity Type | Individual |
| Full Name | JENNIFER MEAD-SAMUELS |
| Credential | RPA-C |
| Practice Address |
53 W Main St Victor NY 14564-1198 |
| Practice Telephone | 5859240690 |
| Mailing Telephone | 5859240690 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
005008 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 176876BF | 01 |
| NY | BLUE CHOICE | P019005008 | 01 |
| Street Address |
53 W MAIN ST |
| City | VICTOR |
| State | NY |
| Zip Code | 14564-1198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801450812 | Amanda M Lavere | Pharmacist | 53 W Main St, Victor, NY 14564-1198 | 2019-04-24 |
| 1154867992 | Caitlin Turner Topping | Pharmacist | 53 W Main St, Victor, NY 14564-1198 | 2017-01-18 |
| 1134433717 | Elisabete Sharp | Family Medicine | 53 W Main St, Victor, NY 14564-1198 | 2010-08-05 |
| 1043454028 | Victoria Pierle | Pharmacist | 53 W Main St, Victor, NY 14564-1198 | 2009-04-22 |
| 1063677540 | Bart Robert Psaila | Pharmacist | 53 W Main St, Victor, NY 14564-1198 | 2008-07-23 |
| 1316076805 | Kerry M. Davis | Massage Therapist | 53 W Main St, Suite 2, Victor, NY 14564-1106 | 2007-03-02 |
| 1134297609 | James Robert Palmatier | Pharmacist | 53 W Main St, Victor, NY 14564-1106 | 2006-12-01 |
| 1306912076 | Mead Square Pharmacy Inc | Pharmacy | 53 W Main St, Victor, NY 14564-1106 | 2006-11-27 |
| 1437225190 | Christopher Kevin Casey | Pharmacist | 53 W Main St, Victor, NY 14564 | 2006-11-27 |
| 1750477527 | Christine Ann Bellomo | Chiropractor | 53 W Main St, Suite 2, Victor, NY 14564-1106 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110722 | Linda Lechner | Technician | 6251 Murphy Dr, Victor, NY 14564 | 2019-08-22 |
| 1447768320 | Christina Ann Counceller | Registered Nurse | 6731 Springdale Ct, Victor, NY 14564 | 2018-01-13 |
| 1679971915 | Claire Marie Higman | Social Worker | 6539 Anthony Dr, Suite A, Victor, NY 14564 | 2014-12-19 |
| 1528300233 | Fpr Specialty Pharmacy, LLC | Pharmacy | 7910 Rae Boulevard, Suite C, Victor, NY 14564 | 2013-03-20 |
| 1598017519 | Vanessa Lynn Becker | Licensed Practical Nurse | 6423 St.rte.96, Victor, NY 14564 | 2012-10-15 |
| 1154688281 | Brownstone Victor Physical Therapy | Specialist | 10 East Main Street, Suite 102, Victor, NY 14564 | 2012-04-13 |
| 1508138017 | America's Best Contacts & Eyeglasses | Technician/Technologist | 427 Commerce Dr., Victor, NY 14564 | 2012-01-30 |
| 1568779759 | Carol Ann Marshall | Occupational Therapy Assistant | 590 Fisher's Station Dr., Victor, NY 14564 | 2010-09-09 |
| 1932345188 | Gina Marie Colucci | Speech-Language Pathologist | 7641 Pine Tree Dr, Victor, NY 14564 | 2008-12-17 |
| 1720231053 | Suzanne Lester | Nurse Practitioner | 1600 Moseley Road, Suite 300, Victor, NY 14564 | 2008-10-30 |
| Find all providers in zip 14564 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| 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.