Samantha Bergstrom, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP70080916 Issued in WA

Practice address

31833 Gateway Center Blvd S
Federal Way, WA 98003-5616

Phone

(253) 214-1920

NPI assigned

Dec 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1093671877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22529 SE 187TH ST",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386313",
            "telephone_number": "401-965-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31833 GATEWAY CENTER BLVD S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035616",
            "telephone_number": "253-214-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTROM",
        "first_name": "SAMANTHA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP70080916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Bennett
• Marinah Bentley
• Heidi Marguerite Benz-Merritt
• Reilly Benz, PHARM. D
• Mary Pat Bergin, RN
• Nickisha Naulie Berlus, M.D.
• Jeremy Berman
• Ann Berryman, CCC/SLP
• Best Care Chiropractic and Wellness Inc.
• Beverly Renee Beste

• All providers in Federal Way, WA
• Primary Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.