Jodell C Sams Crnfa, LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

JODELL C SAMS CRNFA, LLC

Practice address

2911 Country Club Dr
Pueblo, CO 81008-1202

Phone

(719) 240-2008

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Jodell C Warner, CRNFA

Title

Owner

Phone

(719) 240-2008

Specialties & licenses 1

Addresses

Other names 1

• Jodell C Sams CRNFA, LLC Former legal business name

Tax ID family

Jodell C Sams Crnfa LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jodell C Sams Crnfa, LLC

  • Surgical Physician Assistant
  • Pueblo, CO
  • NPI 1578129839
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodell Carey Sams, RNFA

  • Registered Nurse First Assistant
  • Pueblo, CO
  • NPI 1104117464
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1285290577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 COUNTRY CLUB DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081202",
            "telephone_number": "719-240-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 COUNTRY CLUB DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081202",
            "telephone_number": "719-240-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODELL C SAMS CRNFA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JODELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-240-2008",
        "authorized_official_credential": "CRNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jodell C Sams CRNFA, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ivan Jimenez
• Marykay Jimenez
• Ryan Jimenez, PHARM D.
• Paula Jiron-Finn, ACNP/FNP-C
• JKLR Ministries, LLC
• Jodell C Sams Crnfa, LLC
• Jodi Trujillo Psychiatric Nurse Practitioner
• John G Highfill MD Prof LLC
• John T Hardy M.D. P.C
• Jennifer John, MD

• Registered Nurse First Assistant in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Registered Nurse First Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.