Active NPI
Elizabeth Samoylenko, RN MSN FNP
- Nurse Practitioner
- Visalia, CA
National Provider Identifier
1508967936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP16468
- Practice address
- 431 S Bridge St
Visalia, CA 93277 - Phone
- (559) 732-4662
- Fax
- (559) 636-2733
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP16468 | CA | Primary |
Addresses
Primary practice location
431 S Bridge St
Visalia, CA 93277
Mailing address
431 S Bridge St
Visalia, CA 93277
Phone (559) 732-4662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP16468 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1508967936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 S BRIDGE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-732-4662",
"fax_number": "559-636-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 S BRIDGE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-732-4662",
"fax_number": "559-636-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMOYLENKO",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "RN MSN FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP16468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.