SAMANTHA BERGSTROM FNP-BC
NPI 1093671877
Nurse Practitioner - Primary Care in Federal Way, WA

Active since December 24, 2025
31833 GATEWAY CENTER BLVD S, FEDERAL WAY, WA 98003(253) 214-1920 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Bergstrom Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA BERGSTROM FNP-BC (NPI 1093671877) is an individual primary care provider in Federal Way, Washington, licensed in Washington (AP70080916) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1093671877
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSAMANTHA BERGSTROMCredential: FNP-BC
Location Address31833 GATEWAY CENTER BLVD SFederal Way, WA 98003-5616
Mailing Address22529 Se 187th StMaple Valley, WA 98038-6313 · (401) 965-9091
Sole ProprietorYes
Enumeration DateDecember 24, 2025
NPPES CertifiedDecember 24, 2025
NPI 1093671877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WA · AP70080916
31833 GATEWAY CENTER BLVD S, Federal Way, WA 98003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
31833 GATEWAY CENTER BLVD S
FEDERAL WAY, WA 98003
Internal Medicine
31833 GATEWAY CENTER BLVD S
FEDERAL WAY, WA 98003
Family Medicine
31833 GATEWAY CENTER BLVD S
FEDERAL WAY, WA 98003
Internal Medicine
31833 GATEWAY CENTER BLVD S
FEDERAL WAY, WA 98003
Clinical Medical Laboratory
31833 GATEWAY CENTER BLVD S
FEDERAL WAY, WA 98003
Social Worker
31833 GATEWAY CENTER BLVD S
FEDERAL WAY, WA 98003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Bergstrom's NPI number?

The NPI number for Samantha Bergstrom is 1093671877. It was assigned to this individual provider in the NPPES registry on December 24, 2025.

Where is Samantha Bergstrom located?

Samantha Bergstrom practices at 31833 Gateway Center Blvd S, Federal Way, WA 98003. The listed phone number is (253) 214-1920.

What is Samantha Bergstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Samantha Bergstrom was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.