Samantha L Tielker, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

71002256 Issued in IN

Practice address

1800 N Capitol Ave
NP E-140
Indianapolis, IN 46202-1218

Phone

(317) 962-2894

Fax

(317) 963-5285

NPI assigned

Oct 25, 2006

Last updated

Feb 25, 2014By 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 1

Addresses

Other identifiers 1

Other names 1

• Samantha L Jessup 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Respiratory & Critical Care Consultants P C

  • Pulmonary Disease Physician
  • Indianapolis, IN
  • NPI 1801845086
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1952485898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "STE 130 PROVIDER ENROLLMENT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CAPITOL AVE",
            "address_2": "NP E-140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021218",
            "telephone_number": "317-962-2894",
            "fax_number": "317-963-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIELKER",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71002256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201123630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "JESSUP",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joling Julie Tidwell, NP
• Josh Tidwell
• Tiefel Chiropractic LLC
• Brittany Nicole Tieken
• Marcus Adam Tielker, M.D.
• Molly Tieman, PHARMD
• Kathleen Tierney, MS,RDN,LD
• William M Tierney, MD
• Thomas T Tigges, M.D.
• Shannon M Tighe, MD

• Acute Care Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Acute Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.