SAMANTHA EVANGELINE NICKERSON
NPI 1316733348
Case Manager/Care Coordinator in Fairbanks, AK

Active since April 16, 2025
3100 S CUSHMAN ST, FAIRBANKS, AK 99701(907) 452-1648(907) 456-4849 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Evangeline Nickerson NPPES

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

SAMANTHA EVANGELINE NICKERSON (NPI 1316733348) is an individual case manager/care coordinator provider in Fairbanks, Alaska and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1316733348
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSAMANTHA EVANGELINE NICKERSON
Location Address3100 S CUSHMAN STFairbanks, AK 99701-7516
Mailing Address3100 S Cushman StFairbanks, AK 99701-7516 · (907) 452-1648 · Fax (907) 456-4849
Fax(907) 456-4849
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1316733348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3100 S CUSHMAN ST, Fairbanks, AK 99701

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Counselor (Addiction (Substance Use Disorder))
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Counselor (Addiction (Substance Use Disorder))
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Social Worker
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Nurse Practitioner
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Counselor
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Counselor (Addiction (Substance Use Disorder))
3100 S CUSHMAN ST
FAIRBANKS, AK 99701
Substance Abuse Rehabilitation Facility
3100 S CUSHMAN ST
FAIRBANKS, AK 99701

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 Nickerson's NPI number?

The NPI number for Samantha Nickerson is 1316733348. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Samantha Nickerson located?

Samantha Nickerson practices at 3100 S Cushman St, Fairbanks, AK 99701. The listed phone number is (907) 452-1648.

What is Samantha Nickerson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Samantha Nickerson was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.