Samantha Brinklow, RN
Individual provider Active NPI Registered Nurse · Powell, WY
NPI 1821960451 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1821960451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 30777 (WY)
- Practice address
- 777 Avenue H
Powell, WY 82435-2260 - Phone
- (307) 754-2267
- NPI assigned
- Sep 23, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30777 | WY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 30777 | WY | Yes |
Addresses
Primary practice location
777 Avenue H
Powell, WY 82435-2260
Mailing address
764 Nevada Ave
Lovell, WY 82431-1830
Other providers in Powell, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.