Samantha R Kozol, APRN-NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

114694 Issued in NE

Practice address

110 N 175TH St Ste 1000
Omaha, NE 68118-3581

Phone

(402) 955-8300

Fax

(402) 955-7310

NPI assigned

Nov 28, 2023

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

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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1124894571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24607",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681240607",
            "telephone_number": "402-955-5400",
            "fax_number": "402-955-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 175TH ST STE 1000",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681183581",
            "telephone_number": "402-955-8300",
            "fax_number": "402-955-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZOL",
        "first_name": "SAMANTHA",
        "middle_name": "R",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "114694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Kozisek
• Stacey Kozisek
• Britton L Kozlowski
• Chrystal Kozol, RN
• Rachel Lynne Kozol, APRN
• Solange Abigail Kpatinde
• Kafoui Kpavi
• Eh T Kpaw
• Hay Ta Kpaw
• Htoo Kpaw

• Primary Care Nurse Practitioner in Omaha, NE
• Providers in Omaha, NE by specialty
• Primary Care Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.