Individual provider · Type 1 NPI
Kimberly Samantha Rodriguez, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Provo, UT
NPI number
1992659767
Active
Practice location
395 W Cougar Blvd Ste 601
Provo, UT 84604-3331
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice locations
- 1433 N 1200 W, Orem, UT 84057-2449 · (801) 655-5450
- 508 W 700 S, Payson, UT 84651-2735 · (801) 472-9850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11415541-8900 (UT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
9 other providers at this address
- Aaron William Sanders, DOPsychiatry Physician Provo, UT NPI 1043779036
- Andrea CallClinical Social Worker Provo, UT NPI 1700441052
- Brady Phil Curtis, NPPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1962072736
- Eileen M. Booth, PhDClinical Psychologist Provo, UT NPI 1285651968
- Matthew D. Torbenson, MDPsychiatry Physician Provo, UT NPI 1104455724
- Matthew SwensonPsychiatry Physician Provo, UT NPI 1134355001
- Paige Cree Chardavoyne, MDPsychiatry Physician Provo, UT NPI 1841878030
- Richard Jason Sauque, LCSWClinical Social Worker Provo, UT NPI 1699048959
- Tiffani Petersen, NPPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1255968681
Other psychiatric/mental health nurse practitioner providers in Provo
- Melissa Sue Guest, NURSE PRACTITIONERPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1023730165
- Jessica Lee Anderson, RNPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1063222065
- Clint W. Peterson, APRNPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1063642510
- Gary Webb, APRNPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1063962140
- Wayne R. Heaton, APRNPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1083623862
- Travis J. Hunter, APRN-INTERNPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1114153137
- Karen A. MillettPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1134378334
- Hannah Hoffman, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Provo, UT NPI 1134842552
About NPI 1992659767
Kimberly Samantha Rodriguez, PMHNP-BC's National Provider Identifier is 1992659767, issued on Feb 26, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Provo, UT. The record was last updated on Sep 2, 2026.