Jennifer Lynn Samuels, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APN.0005727-NP Issued in CO

Practice address

260 S Kipling St
Lakewood, CO 80226-1086

Phone

(303) 239-7106

Fax

(303) 239-7157

NPI assigned

Sep 25, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jennifer Lynn Ross Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Advanced Urogynecology & Pelvic Surgery, LLC

  dba Keil Urogynecology

  • Gynecology Physician
  • Denver, CO
  • NPI 1861726515
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1659567584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261086",
            "telephone_number": "303-239-7106",
            "fax_number": "303-239-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261086",
            "telephone_number": "303-239-7106",
            "fax_number": "303-239-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CO",
            "license": "APN.0005727-NP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0005727-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kailla Sam, CCC-SLP
• Samaritan Dialysis DME, LLC
• Golnaz Sadat Samimifar, DMD
• Tara Sampson
• Terry Shira Samuel, M.D.
• Lisa Samuelson, PHARMD
• San Integrative Psychiatry PLLC
• Jesus Alberto Sanchez Contreras Jr., D.O.
• Hilda Sanchez
• Josiah Treatment Sanchez, BA

• Women's Health Nurse Practitioner in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Women's Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.