SAMANTHA RAE BRANDENBURG (NPI# 1700365681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700365681 |
| Entity Type | Individual |
| Full Name | SAMANTHA RAE BRANDENBURG |
| Credential | NP-C |
| Practice Address |
1508 W 22nd St Ste 101 Sioux Falls SD 57105-1514 |
| Mailing Address |
1095 Parkside Dr Sw Huron SD 57350-8934 |
| Practice Telephone | 6053283840 |
| Mailing Telephone | 6053506310 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CP001417 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1508 W 22ND ST STE 101 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487610465 | Thavam Chenthan Thambi-pillai | Transplant Surgery | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2006-04-26 |
| 1427659721 | Taylor Nicole Vaksdal | Family Medicine | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2020-11-03 |
| 1326581505 | Melissa Bunkers | Nurse Practitioner | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2016-11-21 |
| 1760897268 | Ann Sarutzki-tucker | Nurse Practitioner | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2014-06-24 |
| 1407194996 | Hassan Al Turaihi | Surgery | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2013-01-18 |
| 1033481403 | Brittany A Mollet | Physician Assistant | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2012-02-01 |
| 1609157189 | Brooke Brusseau | Licensed Practical Nurse | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2011-08-29 |
| 1679800924 | Jenny Guido | Surgery | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2009-11-06 |
| 1629224167 | Tracy Fiegen Sorenson | Nurse Practitioner | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2008-08-15 |
| 1730389941 | Jesse Lee Dirksen | Surgery | 1508 W 22nd St Ste 101, Sioux Falls, SD 57105-1514 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059057 | Minx Damron Fite | Nurse Practitioner | 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 | 2020-09-26 |
| 1164035945 | Channing Nordin | Nurse Practitioner | 7421 W 50th St, Sioux Falls, SD 57106-7647 | 2020-08-31 |
| 1790312478 | Spencer Robert Taylor | Nurse Practitioner | 5919 S Remington Pl Ste 200, Sioux Falls, SD 57108-5143 | 2020-03-24 |
| 1639678956 | Carrie Hunt | Nurse Practitioner | 1305 West 18th Street, Emergency Department, Sioux Falls, SD 57105 | 2018-02-02 |
| 1194177691 | Tracy Salameh | Nurse Practitioner | 620 E 54th St N, Sioux Falls, SD 57104-0641 | 2016-07-07 |
| 1396089900 | Sanford Clinic | Nurse Practitioner | 1309 W 17th St Ste 102, Sioux Falls, SD 57104-4663 | 2012-11-20 |
| 1205160652 | Tiffanie Renee Vaneimeren | Nurse Practitioner | 808 W Chicory Ln, Sioux Falls, SD 57108-2808 | 2009-10-01 |
| 1285855155 | Kelly S Hefti | Nurse Practitioner | 900 E 54th St, Ste 200, Sioux Falls, SD 57104 | 2007-05-01 |
| 1962541854 | Susan E Weaver | Nurse Practitioner | 2020 S Norton Ave, Sioux Falls, SD 57105-2835 | 2007-02-06 |
| 1992771760 | Melissa Sheree Hoogeveen | Nurse Practitioner | 1000 E. 23rd St., Ste. 230, Sioux Falls, SD 57105-2122 | 2006-02-23 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.