SAMANTHA IRENE JAGER (NPI# 1598290546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598290546 |
| Entity Type | Individual |
| Full Name | SAMANTHA IRENE JAGER |
| Credential | LMT |
| Practice Address |
540 Front Street Fairplay CO 80440 |
| Mailing Address |
Po Box 524 Alma CO 80420-0524 |
| Practice Telephone | 7198361833 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 058963 | CO | Emergency Medical Service Providers |
| N | 405300000X | Prevention Professional | MT.0017165 | CO | Other Service Providers |
| Street Address |
540 FRONT STREET |
| City | FAIRPLAY |
| State | CO |
| Zip Code | 80440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366697161 | Emma Jayne Spofford | Specialist | 540 Front Street, Fairplay, CO 80440 | 2008-11-20 |
| 1114537438 | Connect Movement Center LLC | Physical Therapist | 540 Front Street, Fairplay, CO 80440 | 2020-08-01 |
| 1689141871 | Kristen Werner | Prevention Professional | 540 Front Street, Fairplay, CO 80440-8044 | 2018-10-26 |
| 1568972040 | Kristin Elizabeth Farr | Massage Therapist | 540 Front Street, Fairplay, CO 80440 | 2017-10-10 |
| 1790112100 | Amy Lynn Majikas | Massage Therapist | 540 Front Street, Fairplay, CO 80440-1087 | 2013-09-30 |
| 1003160433 | Kristin Ann Klossner | Contractor | 540 Front Street, Fairplay, CO 80440 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790264547 | Abigail Ferguson | Counselor | 640 Hathaway Street, Fairplay, CO 80440 | 2018-08-13 |
| 1215422720 | Summit Community Care Clinic, Inc. | Clinic/Center | 640 Hathaway St, Fairplay, CO 80440 | 2018-06-27 |
| 1235628199 | Adam Fyler | Counselor | 760 Bogue St, Fairplay, CO 80440 | 2018-05-07 |
| 1174988851 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 970 Castello Ave, Fairplay, CO 80440 | 2015-12-22 |
| 1588034854 | Shirlene Davis | Massage Therapist | 295 5th Street, #7, Fairplay, CO 80440 | 2015-09-30 |
| 1154743979 | Medcare LLC | Nurse Practitioner | 45 Frontage Road, Fairplay, CO 80440 | 2014-01-14 |
| 1316382682 | High Mountain Hygiene, PC | Dental Hygienist | 548 Front St., Suite C, Fairplay, CO 80440 | 2013-05-01 |
| 1790041044 | Lynn Ann Ramey | Registered Nurse | 899 Steinfelt Pkwy, Fairplay, CO 80440 | 2012-04-11 |
| 1881950137 | Betty Elizabeth Ballman Mclain | Registered Nurse | 899 Steinfelt Parkway, Fairplay, CO 80440 | 2012-04-11 |
| 1588968820 | Nancy Kay Roth | Speech-Language Pathologist | 5166 Platte River Dr, Fairplay, CO 80440 | 2010-12-30 |
| Find all providers in zip 80440 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033674387 | Brian Pacelli | Emergency Medical Technician, Basic | 4380 S Monaco St Unit 4053, Denver, CO 80237-3516 | 2019-01-31 |
| 1558722009 | Dillon Campbell | Emergency Medical Technician, Basic | 5018 Carefree Trl, Parker, CO 80134-5242 | 2016-03-11 |
| 1396102950 | Blaine Barsch | Emergency Medical Technician, Basic | 4999 S Birch St, Cherry Hills Village, CO 80121-2007 | 2016-01-26 |
| 1366847105 | Yaroslav Yushkevich | Emergency Medical Technician, Basic | 7460 S Coolidge Way, Aurora, CO 80016-5231 | 2014-10-22 |
| 1598072324 | Matthew Panning | Emergency Medical Technician, Basic | 1080 Sherman St, Apartment B8, Denver, CO 80203-2816 | 2010-08-31 |
| 1164562435 | Paradox Valley Ambulance Association | Emergency Medical Technician, Basic | 21389 6.00 Road, Paradox, CO 81429 | 2007-02-07 |
| 1366973109 | Shirley Jean Gragg | Emergency Medical Technician, Basic | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2017-03-23 |
| 1003352832 | Nicole Brashears | Emergency Medical Technician, Basic | 1420 Austin Bluffs Pkwy, Colorado Springs, CO 80918-3733 | 2017-01-18 |
| 1609310309 | Erin Helena Walsh | Emergency Medical Technician, Basic | 2100 N Broadway, Denver, CO 80205-2526 | 2016-12-14 |
| 1316240278 | Joshua Robert Jeffrey | Emergency Medical Technician, Basic | 509 E 13th St, Loveland, CO 80537-4935 | 2010-12-15 |
| 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.