Samar Khalek, FNP-BC, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023209048 Issued in WI

Practice address

4218 W Puetz Rd
Franklin, WI 53132-8441

Phone

(414) 793-2549

NPI assigned

May 16, 2024

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1215786736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 W PUETZ RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328441",
            "telephone_number": "414-793-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 W PUETZ RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328441",
            "telephone_number": "414-793-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALEK",
        "first_name": "SAMAR",
        "credential": "FNP-BC, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2023209048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan-Hannah Kaytonah
• Marissa Kazik
• Coleman Patrick Keesler, DMD
• Amy J Keidl, RN
• Elizabeth Lynn Keller, RN
• Iman Lynn Khan, M.S.
• Amber L Kiefer, BCBA
• Steve J Kim, MD
• Brianna Kirschbaum
• Haley Kitzke

• Family Nurse Practitioner in Franklin, WI
• Providers in Franklin, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.