Joleen R Sams, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

78843 Issued in KS

Practice address

2909 SE Walnut Dr
Topeka, KS 66605-2189

Phone

(785) 267-0744

Fax

(785) 266-3490

NPI assigned

Jun 28, 2019

Last updated

Jun 28, 2019By 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 names 1

• Joleen R Bacon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Trillion Health and Hormone Clinic

  • General Practice Physician
  • Omaha, NE
  • NPI 1013576057
  NPD (past)

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1316508419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6241",
            "fax_number": "785-270-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 SE WALNUT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052189",
            "telephone_number": "785-267-0744",
            "fax_number": "785-266-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "JOLEEN",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "78843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLEEN",
            "last_name": "BACON",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Elizabeth Salzman, OT
• Sam's Club Optical (Sam's Club Optical 30-8176)
• Samantha Collins
• Pravin Sampat, M.D.
• Sams West Inc (Sams Pharmacy 10-8176)
• Sana Mente Behavioral Health LLC
• Andrew I Sanchez, PTA
• Connie Sanchez, LMSW
• Jared D Sanchez
• Courtney W Sanders, LMSW

• Nurse Practitioner in Topeka, KS
• Providers in Topeka, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.