SAMPSON NDIKUM NPI 1073294757

NPI Information

  • NPI: 1073294757
  • Provider Name: SAMPSON NDIKUM
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 802 W DRAKE RD STE 145
    FORT COLLINS, CO
    ZIP 80526
  • Phone: (970) 449-5122

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NPI Details

Sampson Ndikum is a family nurse practitioner in Fort Collins, CO with 2 years of experience. Sampson Ndikum NPI is 1073294757. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

802 W DRAKE RD STE 145
FORT COLLINS, CO
ZIP 80526-567
Phone: (970) 449-5122

The NPI 1073294757 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0998960COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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