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SAMANTHA PETERSON
NPI 1306536404
Student in an Organized Health Care Education/Training Program in Provo, UT

Active since May 11, 2023
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Peterson NPPES

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

SAMANTHA PETERSON (NPI 1306536404) is an individual student in an organized health care education/training program in Provo, Utah and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1306536404
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA PETERSON
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760
Phone(801) 373-4760
Sole ProprietorNo
Enumeration DateMay 11, 2023
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1306536404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
750 N FREEDOM BLVD, Provo, UT 84601
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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.

ELIZA RACHELLE GEDGE PH.D., LP
Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-0639
WASATCH MENTAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JUSTINE CADAYONG EGGLESTON
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SARAH FARIA
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
MEGAN NICHOLS
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
VICTORIA RYALS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KAMERYA HANOHANO
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ALLISON RAMIREZ
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

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 Peterson's NPI number?

The NPI number for Samantha Peterson is 1306536404. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Samantha Peterson located?

Samantha Peterson practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Samantha Peterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samantha Peterson was last updated on April 17, 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.