SAMANTHA ROSE VERGARA NP NPI 1033887021

NPI Information

NPI: 1033887021
Provider Name: SAMANTHA ROSE VERGARA, NP
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-8900
Get Directions

Samantha Rose Vergara, NP is a critical care medicine registered nurse in Fort Wayne, IN with 3 years of experience. Samantha Rose Vergara, NP NPI is 1033887021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11141 PARKVIEW PLAZA DR STE 305
FORT WAYNE, IN
ZIP 46845-715
Phone: (260) 266-8900
Fax: (260) 266-8936

The NPI 1033887021 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/2/2021 and was last updated on 10/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	28208897A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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