SAMANTHA KELLY (NPI# 1518488634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518488634 |
| Entity Type | Individual |
| Full Name | SAMANTHA KELLY |
| Credential | FNP-C |
| Practice Address |
5900 Coyle Ave Carmichael CA 95608-0400 |
| Mailing Address |
5900 Coyle Ave Ste A Carmichael CA 95608-0400 |
| Practice Telephone | 9163321210 |
| Practice Fax Number | 9163320207 |
| Mailing Telephone | 9163321210 |
| Mailing Fax Number | 9163320207 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95034970 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006818 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591963 | Samantha Patel Kelly | Student in an Organized Health Care Education/Training Program | 800 Stone Creek Blvd, Yukon, OK 73099-4432 | 2020-06-02 |
| 1255852661 | Samantha Jo Kelly | Dentist | 1710 Nashville Pike # 102, Gallatin, TN 37066 | 2017-07-06 |
| 1417369448 | Samantha Kelly | Speech-Language Pathologist | 2631 S Moore Dr Unit B, Lakewood, CO 80227-2789 | 2014-05-26 |
| 1639708191 | Samantha Nicole Kelly | Licensed Vocational Nurse | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-04-06 |
| 1255970703 | Samantha Ann Kelly | Pharmacy Technician | 1812 Centre Creek Dr Ste 115, Austin, TX 78754-5133 | 2020-01-02 |
| 1568010205 | Samantha Elizabeth Kelly | Social Worker | 1010 Downing Ave Ste 60, Hays, KS 67601-2461 | 2019-08-27 |
| 1245465699 | Samantha Anne Kelly | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2009-05-28 |
| 1477629442 | Samantha Josephine Kelly | Case Manager/Care Coordinator | 1733 Vine St, Denver, CO 80206-1119 | 2006-11-28 |
| 1275557852 | Samantha A. Kelly | Nurse Anesthetist, Certified Registered | 1000 N. Village Ave, Rockville Centre, NY 11570 | 2006-07-27 |
| Street Address |
5900 COYLE AVE |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-0400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962422618 | David L Olson | Internal Medicine | 5900 Coyle Ave, Suite A, Carmichael, CA 95608-0400 | 2006-07-19 |
| 1952950263 | Jennifer Asican Evans | Nurse Practitioner | 5900 Coyle Ave, Carmichael, CA 95608-0400 | 2019-09-09 |
| 1265984256 | Albert J. Lashell | Massage Therapist | 5900 Coyle Ave, Suite D, Carmichael, CA 95608-0400 | 2016-10-26 |
| 1437608650 | All Inclusive Medical Service, Inc | Clinic/Center | 5900 Coyle Ave, Carmichael, CA 95608-0400 | 2016-09-28 |
| 1518124791 | Samantha Leann Khachi | Physician Assistant | 5900 Coyle Ave, Suite A, Carmichael, CA 95608 | 2008-05-16 |
| 1952588592 | Mark James Moody | Internal Medicine | 5900 Coyle Ave, Suite A, Carmichael, CA 95608-0400 | 2008-01-25 |
| 1952452419 | J. Garland Stroup, M. D. P. C. | Allergy & Immunology | 5900 Coyle Ave, Carmichael, CA 95608-0429 | 2007-01-12 |
| 1265507503 | Debra Moore | Psychologist | 5900 Coyle Ave, Suite D, Carmichael, CA 95608-0429 | 2006-11-21 |
| 1831269125 | Integral Orthotics & Prosthetics Inc. | Durable Medical Equipment & Medical Supplies | 5900 Coyle Ave, Suite B, Carmichael, CA 95608-0429 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315215 | Chue Xiong | Nurse Practitioner | 5410 Cypress Ave, Carmichael, CA 95608-2112 | 2013-06-05 |
| 1407031651 | Lori Bowden | Nurse Practitioner | 3637 Mission Ave Ste 3, Carmichael, CA 95608-2946 | 2008-01-07 |
| 1730728940 | Saffron Ruth Hackett | Nurse Practitioner | 5841 Jameson Ct, Carmichael, CA 95608-0895 | 2020-01-06 |
| 1952950263 | Jennifer Asican Evans | Nurse Practitioner | 5900 Coyle Ave, Carmichael, CA 95608-0400 | 2019-09-09 |
| 1770090508 | Amanda Peoples | Nurse Practitioner | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2018-01-02 |
| 1548619034 | Latarsha Pittman | Nurse Practitioner | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2016-06-06 |
| 1164895553 | Kimberly Dawn Beatty | Nurse Practitioner | 6555 Coyle Ave, Suite 280, Carmichael, CA 95608-0302 | 2015-11-06 |
| 1316322837 | Jacie Jones | Nurse Practitioner | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2015-07-26 |
| 1447647391 | Timothy Cereceres | Nurse Practitioner | 4156 Manzanita Ave, Carmichael, CA 95608-1496 | 2015-04-17 |
| 1851714448 | Margaret C Mack | Nurse Practitioner | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2014-02-02 |
| Find all providers in CARMICHAEL | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
Please comment or provide details below to improve the information on SAMANTHA KELLY.
| 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.