Kirsten Marlene Heidel Sampera, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0045608 Issued in CO

Practice address

1200 E Elizabeth St
Fort Collins, CO 80524-4007

Phone

(970) 267-9510

Fax

(970) 482-6938

NPI assigned

Aug 30, 2006

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirstensampera@yc.allscriptsdirect.net

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

• Fort Collins Youth Clinic

  • Pediatrics Physician
  • Fort Collins, CO
  • NPI 1336292622
  NPD
• Poudre Valley Health Care Inc.

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1760492714
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1356450431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244007",
            "telephone_number": "970-267-9510",
            "fax_number": "970-482-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244007",
            "telephone_number": "970-267-9510",
            "fax_number": "970-482-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPERA",
        "first_name": "KIRSTEN",
        "middle_name": "MARLENE HEIDEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "0045608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531766",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Sam
• Sam'S Club Optical
• Samantha Goudy LLC
• Ana Lucia Samayoa Ramos
• Joseph Samour, LPC
• Sample Services
• Sample Services
• Sample Supports, LLC
• Sample Supports, LLC
• Sams West Inc

• Pediatrics Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.