Active NPI
Samantha Bramblett, APRN
- Family Nurse Practitioner
- La Vista, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113318
- Practice address
- 6901 S 84TH St
La Vista, NE 68128-2127 - Phone
- (402) 339-1090
- NPI assigned
- Aug 13, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113318 | NE | Primary |
Addresses
Primary practice location
6901 S 84TH St
La Vista, NE 68128-2127
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Other practice location 1
8055 O St
Lincoln, NE 68510-2564
Phone (866) 284-8788
Other practice location 2
5045 S 153rd St
Omaha, NE 68137-5001
Phone (402) 717-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
1288 Valley View LN
Council Bluffs, IA 51503-5456
Phone (712) 328-8800
16101 Evans St
Omaha, NE 68116-6447
Phone (402) 717-9700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113318 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients |
Locations
3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
2771 Solution Ctr
Chicago, IL 60677
16101 Evans St
Omaha, NE 68116
Phone (402) 717-9700
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
2734 N 61st St
Omaha, NE 68104
Phone (402) 553-0222
5045 S 153rd St
Omaha, NE 68137
Phone (402) 717-9100
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
4220 L St
#100
Omaha, NE 68107
Phone (402) 733-4433
Organizations & group practices 3
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.
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lasting Hope Recovery Center
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
dba CHI Health Creighton University Medical Center-Bergan Mercy
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1881369601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 S 84TH ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681282127",
"telephone_number": "402-339-1090"
}
],
"practiceLocations": [
{
"address_1": "8055 O St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685102564",
"country_code": "US",
"telephone_number": "866-284-8788",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5045 S 153rd St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681375001",
"country_code": "US",
"telephone_number": "402-717-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAMBLETT",
"first_name": "SAMANTHA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2022-02-07",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "113318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Vista, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.