IAN SAMUELSON (NPI# 1932510534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932510534 |
| Entity Type | Individual |
| Full Name | IAN SAMUELSON |
| Credential | CRNP |
| Practice Address |
1005 W Market St Ste 7 Athens AL 35611-2454 |
| Practice Telephone | 2562339273 |
| Practice Fax Number | 2562169192 |
| Mailing Telephone | 2562339273 |
| Mailing Fax Number | 2562169192 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1-121085 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1005 W MARKET ST STE 7 |
| City | ATHENS |
| State | AL |
| Zip Code | 35611-2454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891703849 | Athens North Alabama Womens Health | Obstetrics & Gynecology | 1005 W Market St Ste 7, Athens, AL 35611 | 2006-08-04 |
| 1770101990 | Covid Clinic | Family Medicine | 1005 W Market St Ste 7, Athens, AL 35611-2454 | 2020-07-14 |
| 1710517206 | Tammy Mcwhirter | Nurse Practitioner | 1005 W Market St Ste 7, Athens, AL 35611-2454 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1104467901 | Michael S Layman | Hearing Instrument Specialist | 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 | 2019-10-02 |
| 1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
| 1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
| 1306293618 | Brady Aderholt | Nurse Practitioner | 411 N Houston St, Athens, AL 35611 | 2016-05-17 |
| 1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
| 1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
| 1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
| 1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
| Find all providers in zip 35611 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1861982993 | Sarah Standard Lockwood | Nurse Practitioner | 210 Lexington Cir, Athens, GA 30605-4991 | 2018-05-15 |
| 1447798616 | Kristy Leanne Williams | Nurse Practitioner | 101 Fitness Way Ste 1200, Athens, AL 35611-2492 | 2017-02-07 |
| 1790959708 | Bertha Stauff | Nurse Practitioner | 700 Sunset Drive Suite 504, Athens, GA 30606 | 2008-04-22 |
| 1295906634 | Wendy Lynn Prince | Nurse Practitioner | 725 W Market St Ste B, Athens, AL 35611-2456 | 2008-03-13 |
| 1386868768 | Holly Collier | Nurse Practitioner | 1088 Baxter St Ste A, Athens, GA 30606-6316 | 2007-04-13 |
| 1467552315 | Margaret A. Tonkovich | Nurse Practitioner | 542 W Union St Ste B, Athens, OH 45701-8300 | 2006-09-22 |
| 1073526547 | Benna Ellis Cunningham | Nurse Practitioner | 370 River Road, Athens, GA 30602-1755 | 2006-08-14 |
| 1871502732 | Cynthia Nixon | Nurse Practitioner | 704 S Palestine St, Athens, TX 75751-3325 | 2006-08-07 |
| Find all providers in ATHENS | ||||
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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.