MEDICARE: RITA ANN A SAMMIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.1671056	CO

General Provider Information

NPI Number	:	1588537211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA ANN A SAMMIS

Provider Business Mailing Address
First Line	:	610 STEVENS AVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5225 N ACADEMY BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-4000
Country	:	US
Telephone Number	:	719-644-6463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	12/09/2025

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Directions to “ RITA ANN A SAMMIS ” Practice Location

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