Samantha J Bollan, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

120117 Issued in AR

Practice address

1662 Higdon Ferry Rd Ste 100
Hot Springs, AR 71913-6980

Phone

(501) 318-6199

NPI assigned

Sep 10, 2019

Last updated

Apr 18, 2022By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1417506676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "314-364-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 HIGDON FERRY RD STE 100",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136980",
            "telephone_number": "501-318-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLAN",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "120117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Louis Bodemann, MD
• Mandi E Bohlen, APRN
• Lauren Danielle Bolding
• Steffany Boldrey, LAC
• James Paul Bolin, ATC
• John B Bond, MD
• Loia Cloud Bondhus, HOT SPRINGS
• Virginia Ann Bonnette, ANP
• Donald L Boos Jr., M.D.
• Jeffrey H. Bordelon, MD

• Nurse Practitioner in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.