Active NPI
Samantha Lynn Braden, AUD
- Audiologist
- Swansea, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147012286
- Practice address
- 19 Wolf Creek Dr
Dept Otolaryngology
Swansea, IL 62226-2355 - Phone
- (618) 235-3687
- Fax
- (618) 239-9429
- NPI assigned
- Aug 8, 2022
- Last updated
- Feb 20, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147012286 | IL | Primary |
Addresses
Primary practice location
19 Wolf Creek Dr
Dept Otolaryngology
Swansea, IL 62226-2355
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 235-3687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330113440 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 Wolf Creek Dr
Swansea, IL 62226-2355
Phone (618) 235-3687
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147012286 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Audiologist | Current | Accepting new patients |
| St Louis Pathology Assoc Inc. | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospital South | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospital South | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Past | Accepting new patients |
Locations
10004 Kennerly Rd
Ste 205A
Saint Louis, MO 63128
Phone (314) 525-4327
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
607 S New Ballas Rd
Ste T2170
Saint Louis, MO 63141
Phone (314) 251-4235
621 S New Ballas Rd
Ste 482
Saint Louis, MO 63141
Phone (314) 251-5850
621 S New Ballas Rd
Ste 385A
Saint Louis, MO 63141
Phone (314) 251-5850
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
901 Patients First Dr
Ste 3500
Washington, MO 63090
Phone (636) 266-7850
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- O'Fallon, IL
- NPI 1477076263
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
dba Mercy Hospital Washington McAuley Clinic
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
dba Mercy Hospital St Louis
- Audiologist
- Saint Louis, MO
- NPI 1255790762
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1194778415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1538896774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "618-235-3687",
"fax_number": "618-239-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WOLF CREEK DR",
"address_2": "DEPT OTOLARYNGOLOGY",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262355",
"telephone_number": "618-235-3687",
"fax_number": "618-239-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADEN",
"first_name": "SAMANTHA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2026-02-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147012286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330113440",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "19 Wolf Creek Dr",
"address_2": "Dept Otolaryngology",
"city": "Swansea",
"state": "IL",
"country_code": "US",
"postal_code": "622262355",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.