SAMANTHA WILSON


Address: 1900 Broadmoore Drive, Lincoln, NE 68506
Phone: 5079513128

SAMANTHA WILSON (NPI# 1407393143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407393143
Entity Type Individual
Full Name SAMANTHA WILSON
Credential ATC
Practice Address 1900 Broadmoore Drive
Lincoln
NE 68506
Mailing Address 1900 Broadmoore Dr
Lincoln
NE 68506-2316
Practice Telephone 5079513128
Mailing Telephone 5079513128
Enumeration Date 2017-01-19
Last Update Date 2017-01-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
672 NE Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SAMANTHA WILSON

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1013492701 Samantha May Wilson Nurse Practitioner 24100 Chagrin Blvd Ste 430, Beachwood, OH 44122-5567 2018-09-27
1568983252 Samantha La Wilson Counselor 28115 Se 451st St, Enumclaw, WA 98022-9204 2017-07-03
1295170959 Samantha Elizabeth Wilson Massage Therapist 2185 Northlake Pkwy Ste 100, Tucker, GA 30084-4100 2013-05-07
1508465212 Samantha S Wilson Social Worker 37 W 26th St, New York, NY 10010-1006 2020-10-22
1174145866 Samantha Joan Wilson Behavior Technician 302 Railway Ave., Seward, AK 99664 2020-05-15
1740839216 Samantha Stone Wilson Speech-Language Pathologist 6239 S East St Ste A, Indianapolis, IN 46227-2088 2019-09-08
1326607896 Samantha Wilson Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2019-06-10
1164081915 Samantha Wilson Nurse Practitioner 1133 21st St Nw Ste 200, Washington, DC 20036-3324 2019-06-06
1992282024 Samantha Castillo Wilson Physician Assistant 2350 Limestone Pkwy, Gainesville, GA 30501-2013 2018-07-21
1386143063 Samantha Kuenzli Wilson Physical Therapist 401 Lambert Rd, Biscoe, NC 27209-9002 2018-02-07

Office Location

Street Address 1900 BROADMOORE DRIVE
City LINCOLN
State NE
Zip Code 68506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265058861 Christine Ruth Bergman Dentist 2121 S 70th Street, Lincoln, NE 68506 2020-06-19
1881218428 South Lincoln Family Dentistry LLC Dentist 2121 S. 70th Street, Lincoln, NE 68506 2020-05-29
1982235883 Dermatology Associates of Lincoln, LLC Dermatology 6969 South Street, Lincoln, NE 68506 2020-01-29
1609343052 Advanced Medical Imaging Surgery Center, LLC Clinic/Center 7555 Pioneers Blvd, Lincoln, NE 68506 2018-10-24
1912484064 Knaub Counseling Services, Inc. Counselor 1919 S 40th St Ste 312, Lincoln, NE 68506 2018-07-22
1073004586 Navigate LLC Clinic/Center 4535 Normal Blvd Ste 142, Lincoln, NE 68506 2018-05-21
1346761053 Ewonubari Kehinde Erekere Kats Registered Nurse 1500 S. 70th Street, 104, Lincoln, NE 68506 2017-07-03
1871013300 Jennifer N Miller Registered Nurse 1500 S 48th Street, Suite 800, Lincoln, NE 68506 2017-06-26
1588119283 Doctors Outpatient Surgery Center Clinic/Center 5055 A St, Suite 100, Lincoln, NE 68506 2016-08-23
1568861201 Cornerstone Families II LLC Counselor 4630 Antelope Creek Road, Suite 140, Lincoln, NE 68506 2014-08-19
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099014 Rebecca Ann Ohlson Specialist/Technologist 1235 Sw Kelsey Cir, Lincoln, NE 68522-4446 2020-09-29
1780293209 Kyle Younkin Specialist/Technologist 1100 N 56th St, Lincoln, NE 68504-3251 2020-07-30
1841822475 Jaycee Fleming Specialist/Technologist 6820 N 16th St, Lincoln, NE 68521-9072 2020-02-11
1215569215 Jessica Judith Fritson Specialist/Technologist 800 Stadium Dr, Lincoln, NE 68588-0030 2020-02-07
1164054144 James Lavicky Specialist/Technologist 5340 W Aurora St, Lincoln, NE 68524-2159 2020-02-07
1881226926 Payton Morgan Swanson Specialist/Technologist 5727 Harding Dr, Lincoln, NE 68521-5834 2020-02-06
1215568647 Jenna Trail Specialist/Technologist 4518 Saint Paul Ave Apt 2, Lincoln, NE 68504-2601 2020-02-04
1861023293 Madison Bruha Specialist/Technologist 5000 Saint Paul Ave # Smb2011, Lincoln, NE 68504-2760 2020-02-04
1700418100 Allison Jo Mcluen Specialist/Technologist 5000 Saint Paul Ave # Smb5004, Lincoln, NE 68504-2760 2020-02-04
1437781879 Alexis Grace Sandman Specialist/Technologist 5000 Saint Paul Ave # Smb11047, Lincoln, NE 68504-2760 2020-02-04
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Competitor

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City LINCOLN
Zip Code 68506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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