What is Samuel Etay's NPI number?

Samuel Etay's National Provider Identifier (NPI) is 1417811498, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Samuel Etay's specialty?

Samuel Etay is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Samuel Etay located?

Samuel Etay's practice location on file with NPPES is 6269 S Aspiration Ave, Meridian, ID 83642-1058.

What is Samuel Etay's phone number?

The practice phone number listed in the NPPES registry for Samuel Etay is (970) 449-3655.

Is Samuel Etay's NPI active?

Yes — Samuel Etay's NPI (1417811498) is active in the NPPES registry as of the last update on 2025-12-12.

IndividualActive

Samuel Etay

NPI 1417811498 · Community Health Worker · Meridian, ID

Samuel Etay is a Community Health Worker provider in Meridian, ID (NPI 1417811498).

Provider details

NPI number: 1417811498
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: Yes
License: NONE (ID)

Specialties & taxonomies

Community Health WorkerPrimary172V00000XLicense NONE (ID)
Other Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6269 S Aspiration Ave

Meridian, ID 83642-1058

Phone: (970) 449-3655

Approximate (ZIP-level) locationGet directions

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Mailing address