Payton Emmakay Sampson

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Practice address

3206 Raasch Dr Ste 300
Norfolk, NE 68701-3175

Phone

(402) 379-3888

NPI assigned

Sep 16, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Payton Emmakay Beaver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1043181555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57191 843 RD",
            "city": "PILGER",
            "state": "NE",
            "postal_code": "687684064",
            "telephone_number": "402-833-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 RAASCH DR STE 300",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013175",
            "telephone_number": "402-379-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "PAYTON",
        "middle_name": "EMMAKAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAYTON",
            "last_name": "BEAVER",
            "middle_name": "EMMAKAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Saegebarth, PLMHP
• Jeanie Sage
• Helen Aileen Salamanca
• Keisha A Saleena
• Brian Samek
• A. Phillip Samuels, DDS, MS
• Leilianys Idelsa Sanchez
• Sinai Sanchez
• Cassandra Sanders
• Elizabeth Sanne

• Intellectual Disabilities Intermediate Care Facility in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Intellectual Disabilities Intermediate Care Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.