1. Home
  2. Directory
  3. Illinois
  4. Dekalb
  5. Registered Nurse
  6. NPI Profile

SAMANTHA NIKOLE GUDMUNSON RN
NPI 1619590981
Registered Nurse - Psychiatric/Mental Health in Dekalb, IL

Active since May 21, 2020
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Nikole Gudmunson Rn NPPES

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

SAMANTHA NIKOLE GUDMUNSON RN (NPI 1619590981) is an individual psychiatric/mental health provider in Dekalb, Illinois, licensed in Illinois (041.411473) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1619590981
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameSAMANTHA NIKOLE GUDMUNSONCredential: RN
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing Address12 Health Services DrDekalb, IL 60115-9637 · (815) 756-4875
Phone(815) 756-4875
Sole ProprietorYes
Enumeration DateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1619590981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in IL · 041.411473
12 HEALTH SERVICES DR, Dekalb, IL 60115
Open in Google Maps ↗

Other Identifiers 1

Medicaid474579189001IL

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.

MR. GARY P CARTER MS, NCC, LCPC
Counselor (Professional)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
HEATHER MUCHA MS, LCPC
Counselor (Professional)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
JACQUELIN PIPPEL MA, LCPC
Counselor (Professional)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
SHANNON MICHELLE UNDERWOOD MS ED, NCC, LCPC
Counselor (Professional)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
LINDA HILDERBRANT BSN, RN
Registered Nurse (Psychiatric/Mental Health, Adult)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
FRANCES TIERNEY MA, LCPC
Counselor (Professional)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
YVONNE RILEY BS, CADC
Counselor (Addiction (Substance Use Disorder))
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
KENT PATRICK WOHLRABE MA, CADC
Counselor (Addiction (Substance Use Disorder))
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875

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 Gudmunson's NPI number?

The NPI number for Samantha Gudmunson is 1619590981. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Where is Samantha Gudmunson located?

Samantha Gudmunson practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Samantha Gudmunson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Samantha Gudmunson was last updated on May 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.