Kelsey Larue Sam, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

335747 Issued in TX

Practice address

2505 Windmill Dr
Killeen, TX 76549-8520

Phone

(254) 248-2922

NPI assigned

Aug 7, 2019

Last updated

Aug 7, 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

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1417502477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 WINDMILL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765498520",
            "telephone_number": "254-248-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 WINDMILL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765498520",
            "telephone_number": "254-248-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "KELSEY",
        "middle_name": "LARUE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "335747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Airyanna Salazar
• Tiffany Salgado
• Brandon Salinas Sr.
• Jazmine Salinas
• Rena Dell Salyer, D.O.
• Jessie San Miguel
• Zairy Josel Sanchez Lozano
• Waleska Sanchez Ojeda
• Zoey Sanchez Valdez
• Kathryn Sanchez

• Licensed Vocational Nurse in Killeen, TX
• Providers in Killeen, TX by specialty
• Licensed Vocational Nurse in Texas

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