SAMANTHA NELSON (NPI# 1194177832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194177832 |
| Entity Type | Individual |
| Full Name | SAMANTHA NELSON |
| Practice Address |
2842 S Business Dr Sheboygan WI 53081-6518 |
| Mailing Address |
1310 22nd St Two Rivers WI 54241-2649 |
| Practice Telephone | 9204586527 |
| Mailing Telephone | 9206297043 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16682-130 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100013852 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222673 | Samantha Nelson | Technician | 13 Witek Dr, Montrose, WV 26283-7504 | 2020-07-20 |
| 1518424936 | Samantha Ann Nelson | Counselor | 6598 Brush St, North Branch, MI 48461-8842 | 2019-02-21 |
| 1316494826 | Samantha Nelson | Physician Assistant | 1500 Campo Sano Ave, Suite 200, Coral Gables, FL 33146-2008 | 2016-09-01 |
| 1235531336 | Samantha Nelson | Technician, Other | 10948 Raley Creek Dr S, Jacksonville, FL 32225-2324 | 2014-09-19 |
| 1265703946 | Samantha L Nelson | Licensed Practical Nurse | 119 3rd Ave, Wayland, NY 14572-1230 | 2012-01-26 |
| 1487260543 | Samantha Lee Nelson | Behavior Technician | 4655 Rosebud Ln, Newburgh, IN 47630-9366 | 2020-09-23 |
| 1497368443 | Samantha Marie Nelson | Student in an Organized Health Care Education/Training Program | 1401 Presque Isle Ave, Marquette, MI 49855-2818 | 2020-08-28 |
| 1063044345 | Samantha Nelson | Physical Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2020-02-05 |
| 1548756273 | Samantha Kristine Nelson | Peer Specialist | 1820 University Ave, Riverside, CA 92507-5355 | 2018-07-05 |
| 1013393438 | Samantha Nelson | Clinic/Center | 103 1/2 W Main St, Wilburton, OK 74578-4043 | 2015-08-07 |
| Street Address |
2842 S BUSINESS DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53081-6518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487602 | Lori L Baril | Counselor | 2842 S Business Dr, B107, Sheboygan, WI 53081-6518 | 2008-08-27 |
| 1043844103 | Autumn Brooke Wendlandt | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2020-02-27 |
| 1861022022 | Angelique Netzband-fischer | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2020-01-16 |
| 1841831880 | Todd Allen Juhl | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-10-01 |
| 1750942157 | Mary Joanne Goodman | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-06-26 |
| 1417515834 | Linda Lou Fickett | Licensed Practical Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2019-05-31 |
| 1588147862 | Leah Ann Mullens | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2018-09-12 |
| 1801395348 | Katherine Mary Conto | Registered Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2018-02-11 |
| 1417461401 | Jennifer Lynn Brubaker | Psychiatry & Neurology | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2017-11-29 |
| 1467961532 | Carol Emerick | Licensed Practical Nurse | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2017-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1780159004 | Great Lakes Clinic and Consultants, LLC | Clinic/Center | 1407 North 8th Street, Suite 203, Sheboygan, WI 53081 | 2018-10-13 |
| 1174032106 | Laura Elizabeth Manning | Registered Nurse | 325 Linocln Ave, Sheboygan, WI 53081 | 2017-09-21 |
| 1043733686 | Chasidy D Wilke | Behavioral Analyst | 2223 Terrace View Dr Apt 3a, Sheboygan, WI 53081 | 2017-07-25 |
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1942652185 | Jacob Steven Son | Dentist | 3555 Wasington Ave., Sheboygan, WI 53081 | 2016-07-12 |
| 1225491749 | Cassandra Lea Loehndorf | Social Worker | 3321 S. 12th St., Sheboygan, WI 53081 | 2016-04-01 |
| 1003201112 | Jason Meinhardt | Dentist | 2115 S Memorial Pl, Sheboygan, WI 53081 | 2015-04-06 |
| 1346634110 | Christopher Lenz | Specialist/Technologist | 2920 Superior Ave., Prevea Orthopedics, Sheboygan, WI 53081 | 2015-03-19 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| Find all providers in zip 53081 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700320074 | Darlene Wilken | Counselor | 2842 S. Business Dr, Sheboygan, WI 53081 | 2016-12-06 |
| 1265881908 | Frank William Simac | Counselor | 1504 New Jersey Ave, Sheboygan, WI 53081-4845 | 2016-06-03 |
| 1780008060 | James Simac | Counselor | 503 Wisconsin Ave., Sheboygan, WI 53081 | 2014-02-07 |
| 1720331119 | Troy E Krepsky | Counselor | 3321 S 12th St, Sheboygan, WI 53081-6753 | 2012-10-22 |
| 1245487602 | Lori L Baril | Counselor | 2842 S Business Dr, B107, Sheboygan, WI 53081-6518 | 2008-08-27 |
| 1679748677 | Kent Thomas Kollath | Counselor | 2911 Main Ave, Sheboygan, WI 53083-3639 | 2008-04-30 |
| 1932327582 | Thomas A Ritchie | Counselor | 3151 Saemann Ave, Sheboygan, WI 53081 | 2007-04-20 |
| 1063498087 | Susan A Hein | Counselor | 615 South 8th St, Ste G-20, Sheboygan, WI 53081 | 2005-12-21 |
| 1861022022 | Angelique Netzband-fischer | Counselor | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2020-01-16 |
| 1396385787 | Madison Debra Williams | Counselor | 3321 S 12th St, Sheboygan, WI 53081-6753 | 2020-01-14 |
| Find all providers in SHEBOYGAN | ||||
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| 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.