ERICA SAMUEL (NPI# 1679191696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679191696 |
| Entity Type | Individual |
| Full Name | ERICA SAMUEL |
| Practice Address |
3023 S Fort Ave Ste B Springfield MO 65807-4217 |
| Mailing Address |
4417 S Quail Creek Ave Springfield MO 65810-1664 |
| Practice Telephone | 4178904656 |
| Mailing Telephone | 4177667372 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE | 2020000392 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750748687 | Erica Justine Samuel | Social Worker | 6101 Sequoia Rd Nw, Apt F-21, Albuquerque, NM 87120-3412 | 2016-01-22 |
| 1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
| Street Address |
3023 S FORT AVE STE B |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962822353 | Theracare Outpatient Services, LLC | Behavioral Analyst | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2014-04-23 |
| 1962011924 | Lindsey Wilkins | Speech-Language Pathologist | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2020-07-27 |
| 1992329171 | Ashton Bernskoetter | Speech-Language Pathologist | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2020-06-03 |
| 1730730284 | Grace Beyer | Occupational Therapist | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2019-09-26 |
| 1376191262 | Michael Harris | Behavior Technician | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2019-09-03 |
| 1376009001 | Jenny Mccracken | Physical Therapist | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2019-02-19 |
| 1679047633 | Breanna Pauline Green | Occupational Therapist | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2019-01-13 |
| 1336623404 | Megan Goforth | Speech-Language Pathologist | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2018-09-24 |
| 1932624855 | Jessica A Brown | Occupational Therapist | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2017-08-11 |
| 1447772884 | Allyson Beary | Speech-Language Pathologist | 3023 S Fort Ave Ste B, Springfield, MO 65807-4217 | 2017-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779507 | Rachel Sparks | Occupational Therapist | 4170 Allium Ct, Springfield, OH 45505-1664 | 2020-10-29 |
| 1598382434 | Laurie Mayeaux Simon | Occupational Therapist | 25190 Blood River Rd, Springfield, LA 70462 | 2020-06-26 |
| 1841810512 | Kathleen Dawn Nicholson-schahl | Occupational Therapist | 920 Estill Dr, Springfield, IL 62707-8561 | 2020-04-22 |
| 1700405560 | Zach Zepf | Occupational Therapist | 7222 Arley Pl, Springfield, VA 22153-1516 | 2020-04-13 |
| 1568005486 | Merilea Valenzuela | Occupational Therapist | 1333 1st St, Springfield, OR 97477-3002 | 2019-10-23 |
| 1477100303 | Jamie Barlow | Occupational Therapist | 1420 S Catalina Ave, Springfield, MO 65804-1906 | 2019-08-26 |
| 1609420975 | Danielle Taylor Cassista | Occupational Therapist | 47 Teakwood Rd, Springfield, MA 01128-1056 | 2019-07-25 |
| 1083192165 | Advanced Healthcare Services, LLC | Occupational Therapist | 3900 Pintail Dr Ste A, Springfield, IL 62711-7380 | 2018-08-01 |
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1215439682 | Allyssa Blount | Occupational Therapist | 1545 E Primrose St, Springfield, MO 65804-7927 | 2018-03-01 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.