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KELLY SAMUELSON
NPI 1245050434
Licensed Vocational Nurse in Placerville, CA

Active since October 14, 2024
935 SPRING ST # B, PLACERVILLE, CA 95667(530) 748-4709 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Samuelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY SAMUELSON (NPI 1245050434) is an individual licensed vocational nurse in Placerville, California, licensed in California (LN190947) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1245050434
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLY SAMUELSON
Location Address935 SPRING ST # BPlacerville, CA 95667-4543
Mailing Address935 Spring St # BPlacerville, CA 95667-4543
Phone(530) 748-4709
Sole ProprietorYes
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1245050434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · LN190947
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
935 SPRING ST # B, Placerville, CA 95667
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATE LINDSEY JOANNE DIAMOND LVN
Occupational Therapist
935 SPRING ST # B
PLACERVILLE, CA 95667
El Dorado County (530) 621-6213
MR. RICARDO BALLIN
Registered Nurse (Psychiatric/Mental Health, Adult)
935 SPRING ST # B
PLACERVILLE, CA 95667
El Dorado County (530) 748-4709
EL DORADO COUNTY HEALTH AND HUMAN SERVICES AGENCY
General Acute Care Hospital
935 SPRING ST # B
PLACERVILLE, CA 95667
El Dorado County (530) 621-6213
JESSICA SOLOMON M.A.
Marriage & Family Therapist
935 SPRING ST # B
PLACERVILLE, CA 95667
El Dorado County (530) 621-6201
MATILDA A EBAGUA
Registered Nurse
935 SPRING ST # B
PLACERVILLE, CA 95667
El Dorado County (530) 621-6210
TAMBA MAURICE MCCARTHY PSYCH TECH
Licensed Psychiatric Technician
935 SPRING ST # B
PLACERVILLE, CA 95667
El Dorado County (530) 621-6213
GABRIELLA MAZARIEGOS
Registered Nurse (Psychiatric/Mental Health)
935 SPRING ST # B
PLACERVILLE, CA 95667
El Dorado County (559) 381-2082
LAUREN MATEKEL
Student in an Organized Health Care Education/Training Program
935 SPRING ST # B
PLACERVILLE, CA 95667
El Dorado County (530) 621-6213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Samuelson's NPI number?

The NPI number for Kelly Samuelson is 1245050434. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Kelly Samuelson located?

Kelly Samuelson practices at 935 Spring St # B, Placerville, CA 95667. The listed phone number is (530) 748-4709.

What is Kelly Samuelson's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelly Samuelson was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.