Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keariesha Natalee Addison Samuels

Individual provider Family Nurse Practitioner · NPI 1124895958

Keariesha Natalee Addison Samuels is a Family Nurse Practitioner in Sacramento, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

77 Cadillac Dr Ste 200
Sacramento, CA 95825-8337
Phone: (916) 569-8484
Fax: (916) 457-2667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 737 W Childs Ave, Merced, CA 95341-6805 — (209) 906-2917

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95029249 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11030106 (FL)

Record details

NPI number1124895958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2023
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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