JENNIFER A. SAMPLE MD – NPI #1912004342
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

JENNIFER SAMPLE is a physician located in PLATTE CITY, MO. NPPES has assigned the NPI number 1912004342 to JENNIFER SAMPLE on September 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JENNIFER A LOWRY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Dec 13, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER SAMPLE below.

NPI Profile for
JENNIFER A. SAMPLE

NPI Number
1912004342
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER A. SAMPLE
Former Name: JENNIFER A LOWRY
Credentials
MD
Primary location
1104 PLATTE FALLS RD
PLATTE CITY, MO 64079-7629
Phone: (816) 665-1080 Fax:
Mailing address
201 ACADEMY ST
PLATTE CITY, MO 64079-9653
Phone: (816) 665-1080 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 13, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JENNIFER SAMPLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKS100347580A
MEDICAIDMO204705701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MO 110981
2080T0002X
- Pediatrics / Medical Toxicology
MO 110981

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.