MICKEL SAMPSON – NPI #1366313876
Registered Nurse

MICKEL SAMPSON is a registered nurse (RN) located in WASHINGTON, UT. NPPES has assigned the NPI number 1366313876 to MICKEL SAMPSON on September 16, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 163WP0807X from the Health Care Provider Taxonomy code set, which is classified as Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICKEL SAMPSON below.

NPI Profile for
MICKEL SAMPSON

NPI Number
1366313876
Enumeration Date

(about 9 months ago)
Entity Type
Type-1  Individual
Legal Name
MICKEL SAMPSON
Primary location
3611 S CAMINO REAL
WASHINGTON, UT 84780-8396
Phone: (435) 900-7455 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Sep 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
163WP0807X
- Registered Nurse / Psychiatric/Mental Health, Child & Adolescent (Primary)		 UT 13982725-3102

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.