SAMANTHA MICHELLE PRIMAVERA APRN, PMHNP-BC
NPI 1619794625
Nurse Practitioner - Psychiatric/Mental Health in Sandy, UT

Q: What is Samantha Primavera's NPI number?

The NPI number for Samantha Primavera is 1619794625. It was assigned to this individual provider in the NPPES registry on September 21, 2024.

Q: What is Samantha Primavera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 21, 2024

9280 S SHAD LN, SANDY, UT 84093(801) 502-3166 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Sep 21, 2024 (2 updates tracked since 2024).

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About Samantha Michelle Primavera Aprn, Pmhnp-bc NPPES

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

SAMANTHA MICHELLE PRIMAVERA APRN, PMHNP-BC (NPI 1619794625) is an individual psychiatric/mental health provider in Sandy, Utah, licensed in Utah (6217771-4405) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1619794625

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMANTHA MICHELLE PRIMAVERACredential: APRN, PMHNP-BC

Location Address9280 S SHAD LNSandy, UT 84093-2668

Mailing Address9280 S Shad LnSandy, UT 84093-2668 · (801) 502-3166

Phone(801) 502-3166

Sole ProprietorYes

Enumeration DateSeptember 21, 2024

Last NPPES UpdateMay 14, 20262 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1619794625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in UT · 6217771-4405

9280 S SHAD LN, Sandy, UT 84093

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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 Primavera's NPI number?

The NPI number for Samantha Primavera is 1619794625. It was assigned to this individual provider in the NPPES registry on September 21, 2024.

Where is Samantha Primavera located?

Samantha Primavera practices at 9280 S Shad Ln, Sandy, UT 84093. The listed phone number is (801) 502-3166.

What is Samantha Primavera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Samantha Primavera was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.