KELLY SAMUELSON
NPI 1245050434
Licensed Vocational Nurse in Placerville, CA

NPI Status: Active since October 14, 2024

Contact Information

935 SPRING ST # B
PLACERVILLE, CA
ZIP 95667
Phone: (530) 748-4709

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  • Individual
  • Female
  • Licensed Vocational Nurse

About KELLY SAMUELSON

This page provides the complete NPI Profile along with additional information for Kelly Samuelson, a provider established in Placerville, California with a medical specialization in Licensed Vocational Nurse. The healthcare provider is registered in the NPI registry with number 1245050434 assigned on October 2024. The practitioner's primary taxonomy code is 164X00000X with license number LN190947 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1245050434
Provider Name
KELLY SAMUELSON
Gender
Female
Entity Type
Individual
Location Address
935 SPRING ST # B PLACERVILLE, CA 95667
Location Phone
(530) 748-4709
Mailing Address
935 SPRING ST # B PLACERVILLE, CA 95667
Is Sole Proprietor?
Yes
Enumeration Date
10-14-2024
Last Update Date
10-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Vocational Nurse

Taxonomy Code
164X00000X
Type
Nursing Service Providers
License No.
LN190947
License State
CA
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245050434
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228505046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 0 + 5 + 0 + 4 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1245050434 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336362581 JESSICA SOLOMON M.A.
Individual
Marriage & Family Therapist935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6201
1992928865 DIANE LOIS SKINNER
Individual
Counselor935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1679796510 JANICE KAREN MILLER PSYCH TECH
Individual
Counselor (Mental Health)935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1306185830EL DORADO COUNTY HEALTH AND HUMAN SERVICES AGENCY
Organization
General Acute Care Hospital935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1346909165 MATILDA A EBAGUA
Individual
Registered Nurse935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6210
1942968060 SAMUEL LATORRE
Individual
Registered Nurse935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6210
1386360584 TAMBA MAURICE MCCARTHY PSYCH TECH
Individual
Licensed Psychiatric Technician935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1790478691 NATALIE LYMAN
Individual
Social Worker935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1851172290 DANTE VILLAMIL ERESO RN
Individual
Registered Nurse935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1992554752 RUPINDER N/A KAUR
Individual
Registered Nurse935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1659105245 JORDYN KOTOWSKI
Individual
Social Worker935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1114741519MR. RICARDO BALLIN
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 748-4709
1669281705 THOMAS IVAN COLEMAN RN
Individual
Registered Nurse (Psychiatric/Mental Health)935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1518762616 SHAWNA MARIE HUCKABY
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213
1780499350 RICHARD EMEREONYE RN
Individual
Registered Nurse (Psychiatric/Mental Health)935 SPRING ST # B
PLACERVILLE, CA 95667
(916) 595-0427
1568358265 NOEL ELIZABETH BRYAN LPN
Individual
Licensed Practical Nurse935 SPRING ST # B
PLACERVILLE, CA 95667
(530) 621-6213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245050434, enumerated in the NPI registry as an "individual" on October 14, 2024

The provider is located at 935 Spring St # B Placerville, Ca 95667 and the phone number is (530) 748-4709

The provider's speciality is Licensed Vocational Nurse with taxonomy code 164X00000X

This NPI record was last updated on October 14, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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