Samantha Anne Koski, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

PA0794 Issued in NV

Practice address

475 E. Bruner Ave
Ste 130
Henderson, NV 89044

Phone

(702) 763-2263

Fax

(702) 723-3765

NPI assigned

Jan 9, 2025

Last updated

Aug 3, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJGDDD

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.

• Inspirada Pediatrics LLC

  dba Inspirada Pediatrics

  • Pediatrics Physician
  • Henderson, NV
  • NPI 1144923459
  NPD (past)
• Lamotte Pediatrics, LLP

  dba Anthem Hills Pediatrics

  • Pediatrics Physician
  • Henderson, NV
  • NPI 1982797601
  NPD (past)

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1790595197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E. BRUNER AVE",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89044",
            "telephone_number": "702-763-2263",
            "fax_number": "702-723-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E. BRUNER AVE",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89044",
            "telephone_number": "702-763-2263",
            "fax_number": "702-723-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "PA0794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Kopolow
• Praveen Korivi, MD
• Korman Optometry, LTD (Eye Studio at Anthem)
• Shana Farber Korman, OPTOMETRIST
• Amina Koroma
• Tina Kosmach, LDO
• Stephanie Michelle Kost, DO
• Varoujan Kostanian, M.D.
• David Sam Kotlyar, M.D.
• Jilly Koumbis

• Pediatrics Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.