SAMUEL GEBREMEDHN ETAY
NPI 1417811498
Community Health Worker in Meridian, ID
About Samuel Gebremedhn Etay NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL GEBREMEDHN ETAY (NPI 1417811498) is an individual community health worker in Meridian, Idaho, licensed in Idaho (NONE) and active in the NPI registry since December 2025.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Samuel Etay's NPI number?
The NPI number for Samuel Etay is 1417811498. It was assigned to this individual provider in the NPPES registry on December 12, 2025.
Where is Samuel Etay located?
Samuel Etay practices at 6269 S Aspiration Ave, Meridian, ID 83642. The listed phone number is (970) 449-3655.
What is Samuel Etay's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Samuel Etay was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.