ANNA R SAMUEL (NPI# 1639312671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639312671 |
| Entity Type | Individual |
| Full Name | ANNA R SAMUEL |
| Credential | ACNP |
| Practice Address |
5026 Pool Rd Denison TX 75020-4595 |
| Mailing Address |
5012 S Us Highway 75 Ste 300 Denison TX 75020-4589 |
| Practice Telephone | 9034653624 |
| Practice Fax Number | 9034653973 |
| Mailing Telephone | 9034653624 |
| Mailing Fax Number | 9034653973 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP124352 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
716738 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
13998 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 329130401 | 05 | |
| TX | BCBS | 8515NF | 01 |
| TX | 329130404 | 05 | |
| TX | MEDICARE PIN | 331622YMGJ | 01 |
| TX | 329130402 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 209 S Church St, Suite A, Lockhart, TX 786442713 | 5123762183 | 5123243449 |
| 1180 Seton Pkwy Ste 450, Kyle, TX 786406178 | 5125040860 | 5125040861 |
| 6300 W Parker Rd Ste 322, Plano, TX 750938103 | (972) 981-7870 | 9729817886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576747 | Anna Amaris Samuel | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-07 |
| Street Address |
5026 POOL RD |
| City | DENISON |
| State | TX |
| Zip Code | 75020-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336649797 | Susan Deaun Handlang | Nurse Practitioner | 5026 Pool Rd, Denison, TX 75020-4595 | 2018-02-12 |
| 1992175723 | Jennifer Lynn Bishop | Nurse Practitioner | 5026 Pool Rd, Denison, TX 75020-4595 | 2015-10-06 |
| 1730447756 | Sudhir Thotakura | Internal Medicine | 5026 Pool Rd, Denison, TX 75020-4595 | 2012-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210161 | Claudia Perez | Counselor | 6101 Hwy 691, Denison, TX 75020 | 2020-03-18 |
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1598301459 | Amanda Lauren Boyle | Family Medicine | 307 King Ave, Dennison, TX 75020 | 2019-11-25 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
| 1487175758 | Amanda Hoyer | Physician Assistant | 5012 S Us Highway 75 Ste 150, Denison, TX 75020 | 2017-06-27 |
| 1679006076 | Michael Slack | Family Medicine | 5016 N Us Hwy 75, Denison, TX 75020 | 2017-04-04 |
| 1184171597 | Tanya Paschen | Nurse Practitioner | 1300 Tx-91, Denison, TX 75020 | 2016-09-01 |
| 1992154553 | Rhonda Howery | Durable Medical Equipment & Medical Supplies | 1001 W. Main St., Suite 101, Denison, TX 75020 | 2016-06-05 |
| 1801255088 | Denison Dental Pllc | Dentist | 3515 West Fm 120, Denison, TX 75020 | 2016-02-17 |
| Find all providers in zip 75020 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003284068 | Carla Ann Cochran | Nurse Practitioner | 101 S Us Highway 75, Denison, TX 75020-1553 | 2015-09-08 |
| 1265078844 | Vanessa Deering | Nurse Practitioner | 5012 S Us Highway 75 Ste 100, Denison, TX 75020-4597 | 2019-11-19 |
| 1376012104 | Marivic Rustia | Nurse Practitioner | 101 Us Hwy 75, Denison, TX 75020-1553 | 2018-11-21 |
| 1093904526 | Cristi A Williams | Nurse Practitioner | 5012 S Us Hwy 75, Suite 300, Denison, TX 75020-4587 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1356942148 | Nina Nicole Totanes | Nurse Practitioner | 12709 Toepperwein Rd Ste 203, Live Oak, TX 78233-3259 | 2020-11-06 |
| 1841890415 | Glenda Kelley | Nurse Practitioner | 8902 W State Highway 56, Savoy, TX 75479-3460 | 2020-10-31 |
| 1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
| 1265030787 | Lissa Flory | Nurse Practitioner | 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 | 2020-10-16 |
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1972101897 | Biny Sam George | Nurse Practitioner | 7207 Baitland Dr, Missouri City, TX 77459-2035 | 2020-10-13 |
| 1285231282 | Nkechi I Carter | Nurse Practitioner | 1550 Katy Gap Rd Apt 1406, Katy, TX 77494-5878 | 2020-10-03 |
| 1770190753 | Julius Osabor Obianke | Nurse Practitioner | 1000 Fallon Dr, Mckinney, TX 75071-1210 | 2020-09-24 |
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| 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.