CRISTAL ANALISA SAMPSON


Address: 64 Wall St Ste 306, Norwalk, CT 06850-3403
Phone: 3476229524

CRISTAL ANALISA SAMPSON (NPI# 1942700430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942700430
Entity Type Individual
Full Name CRISTAL ANALISA SAMPSON
Credential PMHNP-BC
Practice Address 64 Wall St Ste 306
Norwalk
CT 06850-3403
Practice Telephone 3476229524
Practice Fax Number 3478511461
Mailing Telephone 3476229524
Enumeration Date 2018-02-20
Last Update Date 2020-01-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
AP11551 AZ Nursing Service Providers
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
136527 CT Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
8618 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
149 Water St Apt 33, Norwalk, CT 068543758 3476229524 3476229524
651 W Mingus Ave, Cottonwood, AZ 863264006 9286342236

Office Location

Street Address 64 WALL ST STE 306
City NORWALK
State CT
Zip Code 06850-3403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780061101 Akeera Peterkin Counselor 64 Wall St Ste 306, Norwalk, CT 06850-3403 2015-05-05
1215552708 Amani Nia Therapeutic Services Pllc Clinic/Center 64 Wall St Ste 306, Norwalk, CT 06850-3403 2020-06-10
1770122947 Spirit Clinic LLC Clinic/Center 64 Wall St Ste 306, Norwalk, CT 06850-3403 2020-01-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497105092 Brightview Norwalk, LLC Alzheimer Center (Dementia Center) 162 New Canaan Ave., Norwalk, CT 06850 2016-06-15
1518321306 Megan Yee Social Worker 54 W. Norwalk Road, Norwalk, CT 06850 2016-04-08
1992129886 Alicia Collen Zeidan Nurse Practitioner 10 Mott Ave Ste 2a, Norwalk, CT 06850 2014-02-12
1306194642 Diane Beth Weiss Specialist 12 Rae Lane, Norwalk, CT 06850 2012-08-16
1538491170 Thomas C. Santaniello Dentist 16 River Street, Norwalk, CT 06850 2010-02-08
1720226988 Kathleen F Dayton Counselor 4 Berkeley Street, Super Kids, Norwalk, CT 06850 2009-01-27
1578716783 Helen B. Mccue Social Worker 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 2008-10-31
1609900497 James Schumacher Physician Assistant Maple Avenue, Norwalk, CT 06850 2007-03-15
1134270002 Neelam Narula Nurse Practitioner 34 Maple St Ste J, Norwalk, CT 06850 2007-01-16
1669559951 Patricia Jorquera Pediatrics 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 2006-11-01
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417509878 Brandon J Grant Nurse Practitioner 12440 Firestone Blvd, Norwalk, CA 90650-4328 2019-07-15
1154982684 Linton Kinlock Nurse Practitioner 34 Maple St, Norwalk, CT 06850-3894 2019-06-25
1407263890 Melissa Dawn Straus Nurse Practitioner 9 Mott Ave, 4th Floor, Norwalk, CT 06850-3330 2014-07-17
1952734071 Julie Marie Duane Nurse Practitioner 11401 South Bloomfield Avenue, Norwalk, CA 90650 2013-08-13
1134340730 Ellen Kathryn Grace Nurse Practitioner 34 Maple Street, Norwalk, CT 06850-3894 2007-05-01
1538225107 Ellen Villasenor Nurse Practitioner 24 Stevens St, Norwalk, CT 06850-3852 2006-12-28
1679505663 Judith L Chessin Nurse Practitioner 71 East Ave, Suite V, Norwalk, CT 06851-4903 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578164935 Sheneese Denelle Charles Nurse Practitioner 22 Victoria Rd, New Britain, CT 06052-1536 2020-11-03
1396345179 Kate Hanselman Nurse Practitioner 224 Saint John St # 3l, New Haven, CT 06511-4917 2020-10-29
1518565399 Gina Kolstad Nurse Practitioner 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 2020-10-13
1043818966 Shakeria C Brown Nurse Practitioner 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 2020-10-13
1154937910 Gregory Guion Nurse Practitioner 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 2020-09-17
1003425331 Ryan Keenan Nurse Practitioner 34 Seaview Ave, West Haven, CT 06516-6846 2020-07-22
1649888256 Healthy Minds Pllc Nurse Practitioner 40 Russ St, Hartford, CT 06106-1520 2020-07-20
1174131205 Kimberly Levitt Nurse Practitioner 466 Ridgebury Rd, Ridgefield, CT 06877-1228 2020-07-15
1801414602 Georgina Twumasi Mental Health LLC Nurse Practitioner 29 Wildwood Cir, South Windsor, CT 06074-1700 2020-07-08
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Competitor

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City NORWALK
Zip Code 06850

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Dataset Information

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.

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