Individual provider Active NPI

Samantha A Sibson

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1063955789
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
17809 Pierce PLZ
Children'S Rehab - Speech Therapy
Omaha, NE 68130-1035
Phone
(402) 955-8355
Fax
(402) 955-8356
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NE Primary

Addresses

Primary practice location

17809 Pierce PLZ
Children'S Rehab - Speech Therapy
Omaha, NE 68130-1035

Mailing address

8200 Dodge St
Children'S Hospital & Medical Center
Omaha, NE 68114-4113
Phone (402) 955-5400

Other names 1

  • Samantha A Muenster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1063955789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 DODGE ST",
            "address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144113",
            "telephone_number": "402-955-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 PIERCE PLZ",
            "address_2": "CHILDREN'S REHAB - SPEECH THERAPY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301035",
            "telephone_number": "402-955-8355",
            "fax_number": "402-955-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBSON",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MUENSTER",
            "middle_name": "A",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.