Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Samantha Goutermout, NP
Nurse Practitioner in Fulton, NY · enumerated 2022.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1114657228
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Registry record
Entity type Individual (Type 1)
Name Samantha Goutermout
Credential NP
Sex Female
Practice address 522 S 4th St, Fulton, NY, 13069
Phone (315) 592-3930
Fax (315) 592-3932
Enumeration date Jun 13, 2022
Last updated in NPPES Mar 29, 2023
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 717095 (NY) Primary
NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority.
About the NP credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Samantha Goutermout?
The National Provider Identifier (NPI) for Samantha Goutermout is 1114657228, a Type 1 (individual) record in the CMS NPPES registry.
Where does Samantha Goutermout practice?
The practice location on file with NPPES is in Fulton, NY. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Joselito Ouano Family Medicine Physician · Fulton, NY NPI 1831152578 Oswego County Opportunities, Inc. Multi-Specialty Clinic/Center · Fulton, NY NPI 1740396324 Marie Castillo-Alcasid Internal Medicine Physician · Fulton, NY NPI 1124135025 Marie-Jeanne Desravines Family Medicine Physician · Fulton, NY NPI 1285741199 Kylie Lacey Family Nurse Practitioner · Fulton, NY NPI 1346358082 Susan Krzyzak Family Nurse Practitioner · Fulton, NY NPI 1558479204 M Zaeem Ansari, M.D., P.C. Cardiovascular Disease Physician · Fulton, NY NPI 1437247749 Heidi Czajkowski Medical Physician Assistant · Fulton, NY NPI 1972830511
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-29.