Individual provider Active NPI

Leigh-Andrew Thomas Sampson-Seitz, APRN

  • Family Nurse Practitioner
  • South Salt Lake, UT
National Provider Identifier
1275010035
Registry record updated Mar 10, 2022
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6668154-4405 Issued in UT
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

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6668154-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your in Home NP CurrentSince Mar 13, 2022 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.

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

Verify at the official NPI Registry.