Samantha Cribbett, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9235588 Issued in FL

Practice address

12311 San Jose Blvd
Jacksonville, FL 32223-2673

Phone

(904) 262-7211

NPI assigned

Apr 10, 2007

Last updated

Jul 22, 2010By 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 2

Addresses

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

• First Coast Primary Care Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1528197993
  NPD (past)
• St Vincents Physician Enterprise Inc

  dba St Vincents Primary Care

  • Clinic/Center
  • Jacksonville, FL
  • NPI 1477878486
  NPD (past)
• Wellstar East Paulding Primary Care Center, LLC

  • Internal Medicine Physician
  • Hiram, GA
  • NPI 1992750087
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1871616003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232673",
            "telephone_number": "090-426-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232673",
            "telephone_number": "904-262-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIBBETT",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN189729",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9235588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Fleury Crews, DPT, ATC
• Unique Crews
• Crg34Ah01 LLC (Medicus Spine & Joint)
• Aquilla Lynette Cribb
• Carlton Cribb
• Kimberly Alford Cribbs
• Jeffery Crick, DO
• John C Crick, M.D.
• Samantha Brooke Crickmore, LM, CPM
• Mary Ellen Crilley, M. ED.

• Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.