Jennifer Suzanne Sampson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2007022456 Issued in MO

Practice address

1180 Old Jackson Rd
Farmington, MO 63640-3428

Phone

(573) 760-1700

Fax

(573) 760-1224

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1164150678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 OLD JACKSON RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403428",
            "telephone_number": "573-760-1700",
            "fax_number": "573-760-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 OLD JACKSON RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403428",
            "telephone_number": "573-760-1700",
            "fax_number": "573-760-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007022456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelton K Sago
• Saint Francis Medical Center (Saint Francis Clinic Farmington)
• Kristi Salinas, MD
• Karen E Salsman, LPC
• Abigail Marie Sampson
• Taylor Sancegraw
• Angela Kay Sansegraw, BS
• Mary Jane Sansom
• Cara Ashley Sansoucie
• Joel Adrian Sansoucie, M.S.

• Registered Nurse in Farmington, MO
• Providers in Farmington, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.