Individual provider Active NPI

Samantha Kay Brown

  • Behavior Technician
  • Lincoln, NE
National Provider Identifier
1952881724
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
511 Surfside Drive
Apatment 121
Lincoln, NE 68528-6852
Phone
(308) 340-6523
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

511 Surfside Drive
Apatment 121
Lincoln, NE 68528-6852

Mailing address

511 Surfside Dr Apt 121
Lincoln, NE 68528-1081
Phone (308) 340-6523

Other practice location 1

809 W 12th St
Mc Cook, NE 69001-2924
Phone (308) 340-6523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1952881724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SURFSIDE DR APT 121",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685281081",
            "telephone_number": "308-340-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SURFSIDE DRIVE",
            "address_2": "APATMENT 121",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685286852",
            "telephone_number": "308-340-6523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Mc Cook",
            "state": "NE",
            "postal_code": "690012924",
            "country_code": "US",
            "telephone_number": "308-340-6523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SAMANTHA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.