Active NPI
Samantha Izat, MSN, FNP-BC
- Family Nurse Practitioner
- Aurora, CO
National Provider Identifier
1740673656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0993943
- Practice address
- 1700 Wheeling St
Aurora, CO 80045-7211 - Phone
- (720) 723-3300
- NPI assigned
- Mar 17, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1651012 | CO | |
| Registered Nurse | 163W00000X | 657654 | NY | |
| Family Nurse Practitioner | 363LF0000X | 339685 | NY | |
| Family Nurse Practitioner | 363LF0000X | APN0993943 | CO | Primary |
Addresses
Primary practice location
1700 Wheeling St
Aurora, CO 80045-7211
Mailing address
1700 Wheeling St # K1-131
Aurora, CO 80045-7211
Phone (720) 723-3446
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, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1651012 | CO | MD | Registered Nurse |
| 657654 | NY | MD | Registered Nurse |
| APN0993943 | CO | MD | Family Nurse Practitioner |
| 339685 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1740673656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 WHEELING ST # K1-131",
"city": "AURORA",
"state": "CO",
"postal_code": "800457211",
"telephone_number": "720-723-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 WHEELING ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800457211",
"telephone_number": "720-723-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZAT",
"first_name": "SAMANTHA",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-17",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1651012",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "657654",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339685",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN0993943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.