Lanay L Samuelson, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

00000000 Issued in IL

Practice address

6439 N Sheridan Rd
Chicago, IL 60626-5364

Phone

(773) 508-2530

NPI assigned

Jun 13, 2012

Last updated

Jun 7, 2024By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Loyola University Chicago Wellness Center

  • Primary Care Nurse Practitioner
  • Chicago, IL
  • NPI 1659951481
  NPD Authorized official

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1225390479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 N SHERIDAN RD STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265364",
            "telephone_number": "773-508-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "LANAY",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION - ANCC",
            "identifier": "2011016785",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Nichole Samuels
• Kerby Ashley Samuels, M.D.
• Vicki R Samuels, M.D.
• Isaac William Samuelson, LPC
• Jane Ellen Samuelson, PH. D.
• Lisa Samuelson
• Jadwiga Samulak, DDS
• Leokadia Samulak
• Samulio Cvetkovic PLLC (Nexa Dental Clinic)
• Alexander Gareth Samworth, M.D.

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.