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INDIA SAMUELS NPI 1407283294


NPI Information

NPI: 1407283294
Provider Name: INDIA SAMUELS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: COMMUNITY BRIDGES INC

PECOS Registration: Yes

Address:
460 N MESA DR
MESA, AZ
ZIP 85201
Phone: (877) 931-9142
Get Directions

India Samuels is a psychiatric/mental health nurse practitioner in Mesa, AZ with 11 years of experience. India Samuels NPI is 1407283294. 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:

460 N MESA DR
MESA, AZ
ZIP 85201-973
Phone: (877) 931-9142

The NPI 1407283294 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 10/11/2013 and was last updated on 2/19/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily28170338AINDIANANo
2363LF0000XNurse PractitionerFamily253611ARIZONANo
3363LF0000XNurse PractitionerFamily0024180647VIRGINIANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health71004709AINDIANANo
5363LP0808XNurse PractitionerPsychiatric/Mental Health253611ARIZONAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.