MS. JENNIFER LEE SAMPLE (NPI# 1366752321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366752321 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LEE SAMPLE |
| Credential | APRN |
| Practice Address |
2415 N Orange Ave Ste 700 Orlando FL 32804-5521 |
| Practice Telephone | 4073032474 |
| Practice Fax Number | 4073030680 |
| Mailing Telephone | 4073032474 |
| Mailing Fax Number | 4073030680 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN9190577 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912004342 | Jennifer A Sample | Pediatrics | 1104 Platte Falls Rd, Platte City, MO 64079-7629 | 2006-09-20 |
| 1902000714 | Jennifer M Sample | Physician Assistant | 9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 | 2007-06-14 |
| Street Address |
2415 N ORANGE AVE STE 700 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952376907 | Bradford Gregory Ledzian | Physician Assistant | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2006-02-22 |
| 1891353256 | Caroline Coffey | Physician Assistant | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2019-05-31 |
| 1821585498 | Vanessa Lynn Cichon | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2018-04-18 |
| 1265935654 | Angelea D Collins | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2018-03-13 |
| 1710499314 | Fakhreddin Rostami Fard | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804 | 2017-11-03 |
| 1447769617 | Brian Cardona | Physician Assistant | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2017-09-20 |
| 1013386069 | Dennis Paray | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2015-09-21 |
| 1295133619 | Jennifer Charles | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2014-12-17 |
| 1467851923 | Maureen Marie Popke | Physician Assistant | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2014-08-20 |
| 1912314030 | Shady Guirguis | Internal Medicine | 2415 N Orange Ave Ste 700, Orlando, FL 32804 | 2014-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056749 | Talesha Michell Jackson | Nurse Practitioner | 4900 Millenia Blvd Apt 307, Orlando, FL 32839-6052 | 2020-09-03 |
| 1235617085 | Elizabeth Jeanette Yousef | Nurse Practitioner | 3090 Caruso Court, Orlando, FL 32806 | 2018-08-03 |
| 1508248584 | Rachelle Alejandro | Nurse Practitioner | 9481 Dowden Rd Apt 5307, Orlando, FL 32832-5678 | 2015-06-25 |
| 1811324585 | Elizabeth Blaine Tucker | Nurse Practitioner | 801 North Magnolia Avenue, 402, Orlando, FL 32803-3280 | 2013-09-26 |
| 1306287818 | Lori Ann Hadas | Nurse Practitioner | 601 E. Rollins Ave, Orlando, FL 32803 | 2013-07-12 |
| 1780936559 | Jessica Lucas | Nurse Practitioner | 2309 Ann Arbor Ave, Orlando, FL 32804-5313 | 2012-10-03 |
| 1780618355 | Melisa Andrea Wilson | Nurse Practitioner | 2501 N Orange Ave Ste 402, Orlando, FL 32804-4674 | 2006-07-10 |
| 1477583631 | Michelle Joi Cornell | Nurse Practitioner | 51 Pennsylvania St, Orlando, FL 32806-2937 | 2006-07-04 |
| 1972110641 | Laura Nazario | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-28 |
| 1023644192 | Nora Lee Vandenbrink | Nurse Practitioner | 2501 N Orange Ave Ste 689, Orlando, FL 32804-4648 | 2020-03-20 |
| Find all providers in ORLANDO | ||||
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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.