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MRS. SAMANTHA SOPHIA PECKHAM APRN FNP-BC PMHNP-BC
NPI 1134546286
Nurse Practitioner in Las Vegas, NV

Active since March 26, 2014
10040 W CHEYENNE AVE STE 170, LAS VEGAS, NV 89129(702) 907-5080(702) 725-1416 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Samantha Sophia Peckham Aprn Fnp-bc Pmhnp-bc NPPES

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

MRS. SAMANTHA SOPHIA PECKHAM APRN FNP-BC PMHNP-BC (NPI 1134546286) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (001667) and active in the NPI registry since March 2014. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1134546286
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SAMANTHA SOPHIA PECKHAMCredential: APRN FNP-BC PMHNP-BC
Location Address10040 W CHEYENNE AVE STE 170Las Vegas, NV 89129-7721
Mailing Address4898 Al Carrison StLas Vegas, NV 89149-3279 · (702) 738-1775
Phone(702) 907-5080
Fax(702) 725-1416
Sole ProprietorNo
Enumeration DateMarch 26, 2014
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1134546286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NV · 001667✔ Licensed in NV · 1667
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10040 W CHEYENNE AVE STE 170, Las Vegas, NV 89129
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Other Names 1

Former Name (1)Samantha Sophia Sims

Secondary Practice Location 1

Location 12004 S Jones BlvdLas Vegas, NV 89146-3151 · Phone (702) 463-3631

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 Peckham's NPI number?

The NPI number for Samantha Peckham is 1134546286. It was assigned to this individual provider in the NPPES registry on March 26, 2014. The provider is also known as Samantha Sophia Sims.

Where is Samantha Peckham located?

Samantha Peckham practices at 10040 W Cheyenne Ave Ste 170, Las Vegas, NV 89129. The listed phone number is (702) 907-5080.

What is Samantha Peckham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Samantha Peckham was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.