Jaime Samluck, CRNP-PC, IBCLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R206790 Issued in MD

Practice address

511 Jermor LN Ste 105
Westminster, MD 21157-6152

Phone

(410) 871-1000

NPI assigned

Jul 30, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1770137440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN STE 105",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576152",
            "telephone_number": "410-871-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 JERMOR LN STE 105",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576152",
            "telephone_number": "410-871-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMLUCK",
        "first_name": "JAIME",
        "credential": "CRNP-PC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "L-121368",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R206790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jsamlucknp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "511 Jermor Ln Ste 105",
            "city": "Westminster",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211576152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yusuke Sagawa, MD
• Saint Paul Place Specialists, Inc.
• Amy Sales, LCSW-C
• Akbar Salman, MD
• Samer Saiedy MD PA (Maryland Vascular Specialists)
• Susan K. Sankova, M.D.
• Courtney Sarem, DPT
• Jaime Lynn Sather, PMHNP-BC
• Julie Andersen Sawyers
• Susan Renee Scalone, LCPC

• Pediatric Nurse Practitioner in Westminster, MD
• Providers in Westminster, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.