SAMANTHA B BURGESS (NPI# 1336505049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336505049 |
| Entity Type | Individual |
| Full Name | SAMANTHA B BURGESS |
| Credential | FNP-C |
| Practice Address |
1301 Bertha Howe Ave Ste 1 Mesquite NV 89027 |
| Mailing Address |
1301 Bertha Howe Ave Ste 1 Mesquite NV 89027-7503 |
| Practice Telephone | 7023460800 |
| Practice Fax Number | 7023460801 |
| Mailing Telephone | 7023460800 |
| Mailing Fax Number | 7023460801 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3010278 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
810074 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN90027-FNP-BC | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100519213 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427616580 | Samantha Burgess | Nurse Practitioner | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2019-06-04 |
| 1477052512 | Samantha Burgess | Counselor | 70 Edgewood Rd, Saranac Lake, NY 12983-1537 | 2018-02-05 |
| 1255672879 | Samantha J Burgess | Physical Therapist | 27472 Schoenherr Rd, Suite 130, Warren, MI 48088-6688 | 2013-03-06 |
| Street Address |
1301 BERTHA HOWE AVE STE 1 |
| City | MESQUITE |
| State | NV |
| Zip Code | 89027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343576 | Rita Maria Seck | Family Medicine | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 | 2005-08-16 |
| 1548800501 | Mesquite Clinic Management Company LLC | Internal Medicine | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 | 2020-01-08 |
| 1932674579 | April Christine Peterson | Nurse Practitioner | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 | 2018-10-10 |
| 1447734751 | Kurt Colter Sawyer | Nurse Practitioner | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 | 2018-09-21 |
| 1679071617 | Jessica Gorgoglione | Nurse Practitioner | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 | 2018-01-24 |
| 1356876866 | Ann Doty | Nurse Practitioner | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027 | 2017-04-23 |
| 1386725364 | Abraham J. Yaari | Obstetrics & Gynecology | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 | 2006-10-18 |
| 1326056573 | Stephanie Rachel Nainani | Obstetrics & Gynecology | 1301 Bertha Howe Ave Ste 1, Mesquite, NV 89027-7503 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388439 | Michael Shay Nielson | Occupational Therapist | 1140 W. Pioneer Blvd, Mesquite, NV 89027 | 2019-04-22 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1811346901 | Rodney Briggs | Physician Assistant | 1925 Whipple Ave. Ste. 30, Logandale, NV 89027 | 2016-06-08 |
| 1881085843 | Sylvan M. Johnson | Physical Therapist | 340 Falcon Ridge Pkwy # 500, Mesquite, NV 89027 | 2015-02-12 |
| 1326281882 | Gladys Kodjoe | Internal Medicine | 350 Falcon Ridge Pkwy Ste 102, Mesquite, NV 89027 | 2009-04-14 |
| 1316010432 | Mesquite Medical Equipment | Durable Medical Equipment & Medical Supplies | 330 Falcon Ridge Pkwy Ste 400b, Mesquite, NV 89027 | 2006-11-16 |
| 1316982028 | Kyle Devon Andrus | Optometrist | 330 N. Sandhill Blvd, Suite A, Mesquite, NV 89027 | 2006-06-17 |
| 1366409633 | Stephen R Hamilton | Registered Nurse | 1299 Bertha Howe Avenue, Mesquite, NV 89027 | 2006-04-28 |
| 1386642460 | Desert Health Care Facilities, Inc. | Skilled Nursing Facility | 272 Pioneer Blvd, Mesquite, NV 89027 | 2005-07-12 |
| 1205838265 | Marchant Physical Therapy & Wellness, Inc. | Specialist | 340 Falcon Ridge Parkway, Building 500, Mesquite, NV 89027 | 2005-06-02 |
| Find all providers in zip 89027 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083263875 | Alpha Mental Health Services, LLC | Nurse Practitioner | 2033 Military Pkwy Ste 402d, Mesquite, TX 75149-3670 | 2019-09-05 |
| 1740833359 | Linda G Hampton | Nurse Practitioner | 1905 Pinehurst Ln Apt 6207, Mesquite, TX 75150-7236 | 2019-07-23 |
| 1124689781 | Olivia Obazughanmwen | Nurse Practitioner | 2021 Crawford Dr, Mesquite, TX 75149-7627 | 2019-06-25 |
| 1982267621 | Gloria Nkem Agbadiba | Nurse Practitioner | 1037 Kory Dr, Mesquite, TX 75149-6979 | 2019-04-18 |
| 1023571718 | Secunda Udoye | Nurse Practitioner | 4616 Via Ventura, Mesquite, TX 75150-8229 | 2019-04-09 |
| 1003380437 | Doris K Egyawan | Nurse Practitioner | 624 Yosemite Trl, Mesquite, TX 75149-2583 | 2019-01-18 |
| 1366914541 | Christie Payne | Nurse Practitioner | 3617 Swallow Dr, Mesquite, TX 75181-4321 | 2018-12-27 |
| 1811469471 | Bari Eichelbaum | Nurse Practitioner | 1324 N Galloway Ave Ste 104, Mesquite, TX 75149-2440 | 2018-12-20 |
| 1881183507 | Fatuma Hassen | Nurse Practitioner | 1409 Jessica Ln, Mesquite, TX 75149-6983 | 2018-05-08 |
| 1174023469 | Ahuruchi Joyce Chibueze | Nurse Practitioner | 2820 Turtle Dove Ln, Mesquite, TX 75181-4915 | 2018-02-13 |
| Find all providers in MESQUITE | ||||
Please comment or provide details below to improve the information on SAMANTHA B BURGESS.
| 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.