Cecilia Jean Sampsel, N.P.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

71000106A Issued in IN

Practice address

520 Eighth Ave N.E
Demotte, IN 46310

Phone

(219) 987-3581

Fax

(219) 987-7137

NPI assigned

Jun 30, 2006

Last updated

Feb 11, 2009By 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1437187085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463100020",
            "telephone_number": "219-987-3581",
            "fax_number": "219-987-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 EIGHTH AVE N.E",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "46310",
            "telephone_number": "219-987-3581",
            "fax_number": "219-987-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSEL",
        "first_name": "CECILIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "71000106A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hany Hany Reyad, DMD
• Tabitha Rice
• Rose Wierzba Counseling LLC
• Destiny Row
• Rush-Select Holdings, LLC (RUSH Physical Therapy)
• Katherine Sarosy, PTMS
• Amanda Marie Scheidt, NP
• Claud Randall Schrock, LMHC
• Select Medical Rehabilitation Clinics, Inc. (Select Physical Therapy)
• Bailee Caresse Serocinski, PTA

• Family Medicine Physician in Demotte, IN
• Providers in Demotte, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.