Active NPI
Leigh-Andrew Thomas Sampson-Seitz, APRN
- Family Nurse Practitioner
- South Salt Lake, UT
National Provider Identifier
1275010035
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6668154-4405
- Practice address
- 3269 S Main St Ste 220
South Salt Lake, UT 84115-3767 - Phone
- (801) 656-7124
- Fax
- (385) 243-3021
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6668154-4405 | UT | Primary |
Addresses
Primary practice location
3269 S Main St Ste 220
South Salt Lake, UT 84115-3767
Mailing address
325 S 700 East
Ste B #333
Salt Lake City, UT 84102
Phone (801) 656-7124
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6668154-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your in Home NP | Current | Accepting new patients |
Locations
3269 S Main St
Ste 220
South Salt Lake, UT 84115
Phone (385) 212-4358
Organizations & group practices 1
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.
-
- Pain Clinic/Center
- South Salt Lake, UT
- NPI 1639826043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1275010035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S 700 EAST",
"address_2": "STE B #333",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84102",
"telephone_number": "801-656-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3269 S MAIN ST STE 220",
"city": "SOUTH SALT LAKE",
"state": "UT",
"postal_code": "841153767",
"telephone_number": "801-656-7124",
"fax_number": "385-243-3021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON-SEITZ",
"first_name": "LEIGH-ANDREW",
"middle_name": "THOMAS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2022-03-10",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "6668154-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Salt Lake, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.