Active NPI
Janet Easterday Samples, APN
- Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1972797025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 207RG0100X
- Practice address
- 1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454 - Phone
- (865) 588-5121
- Fax
- (865) 588-5126
- NPI assigned
- Aug 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 207RG0100X | TN | Primary |
Addresses
Primary practice location
1311 Dowell Springs Blvd
Suite 300
Knoxville, TN 37909-2454
Mailing address
PO Box 59002
Knoxville, TN 37950-9002
Phone (865) 588-5121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q008666 | Medicaid | TN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207RG0100X | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1972797025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59002",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379509002",
"telephone_number": "865-588-5121",
"fax_number": "865-588-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 DOWELL SPRINGS BLVD",
"address_2": "SUITE 300",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092454",
"telephone_number": "865-588-5121",
"fax_number": "865-588-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLES",
"first_name": "JANET",
"middle_name": "EASTERDAY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "207RG0100X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q008666",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
- Sam's Club Optical (Sam's Club Optical 30-6572)
- Lindsay Ann Samarin, FNP
- Ramanujan Samavedy, M.D.
- Urielle Samis, LCSW
- Fred Brandon Sammons, DO
- Leigh Ann Samples, RRT
- Michelle Samples, PA
- Sampson Transportation & Distribution PH3 LLC
- Sams East Inc (Sams Pharmacy 10-8256)
- Sams East Inc (Sams Pharmacy 10-6572)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.