Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245050434 Individual Practitioner Female Practitioner

Kelly Samuelson

Licensed Vocational Nurse • Placerville, CA

Professional Overview & Biography Verified Profile Summary

Kelly Samuelson is a registered healthcare professional specializing in Licensed Vocational Nurse in Placerville, CA. Practice services are available at 935 SPRING ST # B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

935 Spring St # B

Placerville, CA 956674543

Telephone 5307484709
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Vocational Nurse in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Placerville, CA (11008 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-14
Licensed Vocational Nurse Primary Specialty

NUCC Taxonomy Code: 164X00000X

State License CA LN190947

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Azucena Rivera , LVN

Licensed Vocational Nurse

NPI 1073307112

Licensed Vocational Nurse

Maijai Vang

Registered Nurse

NPI 1093559619
Ricardo Ballin

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1114741519
Darlene Bowser

Registered Nurse - Psychiatric/Mental Health

NPI 1194409292
Michael Deneau , LVN

Licensed Vocational Nurse

NPI 1235902693

Licensed Vocational Nurse

Robin Galdi , RN

Registered Nurse

NPI 1487469060

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2024

Registered at 935 SPRING ST # B, PLACERVILLE, CA 956674543 (Tel: 5307484709)

📍
Updated Business Mailing Address October 14, 2024

Registered at 935 SPRING ST # B, PLACERVILLE, CA 956674543

👤
Provider Name / Credentials Updated October 14, 2024

Recorded as KELLY SAMUELSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2024

Licensed Vocational Nurse (License #LN190947 in CA)

🟢
Initial NPI Registration & Enumeration October 14, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245050434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2024
Last Update: October 14, 2024
Sole Proprietor: Yes

Mailing Address

935 Spring St # B

Placerville, CA 956674543

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.