Samantha Emily Anderson
Individual provider Active NPI Registered Nurse · Bettendorf, IA
NPI 1982530341 · NPPES record last updated Jun 22, 2026
Key facts
- NPI
- 1982530341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 129713 (IA)
- Practice address
- 1835 Sussex CT
Bettendorf, IA 52722-3156 - Phone
- (563) 396-9830
- NPI assigned
- Jun 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 129713 | IA | Yes |
Addresses
Primary practice location
1835 Sussex CT
Bettendorf, IA 52722-3156
Mailing address
1835 Sussex CT
Bettendorf, IA 52722-3156
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2026. 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.