Stephanie Michelle Sampson, DNP, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7734927-4405 Issued in UT

Practice address

682 S Main St Ste 150
Logan, UT 84321-6568

Phone

(435) 990-4282

Fax

(435) 355-3718

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.sampson@230919546077188.direct.elationemr.com

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.

• Wholelife Family Wellness Clinic of Providence PLLC

  • Family Nurse Practitioner
  • Providence, UT
  • NPI 1962049932
  Medicare reassignment NPD
• Cache Health

  • Family Nurse Practitioner
  • Hyde Park, UT
  • NPI 1942027834
  NPD Authorized official

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1215596192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843230245",
            "telephone_number": "435-990-4282",
            "fax_number": "435-355-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 S MAIN ST STE 150",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216568",
            "telephone_number": "435-990-4282",
            "fax_number": "435-355-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7734927-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassi Salas
• David Joshua Salcido, FNP-BC
• Steven S Salisbury, MD
• Salt Hill Counseling, PLLC
• Sam'S Club Optical
• Sams West Inc
• Zachery Paul Samson, LCSW 13703383-3501
• Carlos Moroni Sanchez, RESIDENTIAL AIDE
• Gregory Swen Sandberg, PT
• Abish Sanderson

• Family Nurse Practitioner in Logan, UT
• Providers in Logan, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.