SAMANTHA E CROSS FNP-C - NPI 1649894437 - Nurse Practitioner in Bloomington, IN

Q: What is Samantha Cross's NPI number?

The NPI number for Samantha Cross is 1649894437. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Q: What is Samantha Cross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Cross was last updated on August 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Samantha E Cross Fnp-c NPPES

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

SAMANTHA E CROSS FNP-C (NPI 1649894437) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71010149A) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1649894437

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA E CROSSCredential: FNP-C

Location Address2701 E 3RD STBloomington, IN 47401-5433

Mailing Address2701 E 3rd StBloomington, IN 47401-5433 · (812) 331-1419

Phone(812) 331-1419

Sole ProprietorYes

Enumeration DateJune 8, 2020

Last NPPES UpdateAugust 12, 20202 updates tracked since enumeration

NPPES CertifiedAugust 12, 2020

✔ NPI 1649894437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71010149A

2701 E 3RD ST, Bloomington, IN 47401

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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.

KATHY KALOTTA NP-C

Nurse Practitioner (Family)