Active NPI
Denise M. Sammons, M.D.
- Peer Specialist
- Kearney, NE
National Provider Identifier
1316030448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 4111 4TH Ave Ste 2
Kearney, NE 68845-2883 - Phone
- (308) 237-1102
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17984 | NE | |
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
4111 4TH Ave Ste 2
Kearney, NE 68845-2883
Mailing address
21 Redwood Dr
Kearney, NE 68845-9582
Phone (308) 224-0131
Other practice location 1
21 Redwood Dr
Kearney, NE 68845-9582
Phone (308) 224-0131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06354 | Other | NE | BCBS OF NE |
| 4366 | Other | NE | MIDLANDS CHOICE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17984 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Family Health Center | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Waco, TX
- NPI 1891796694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1316030448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 REDWOOD DR",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688459582",
"telephone_number": "308-224-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 4TH AVE STE 2",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452883",
"telephone_number": "308-237-1102"
}
],
"practiceLocations": [
{
"address_1": "21 Redwood Dr",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688459582",
"country_code": "US",
"telephone_number": "308-224-0131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMMONS",
"first_name": "DENISE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "17984",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE",
"identifier": "06354",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "4366",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.