Active NPI
Samantha Blair Walker, CRNA
- Certified Registered Nurse Anesthetist
- Riverton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11919050-4406
- Practice address
- 3741 W 12600 S
Riverton, UT 84065-7215 - Phone
- (801) 727-2056
- Fax
- (770) 701-6675
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 129222 | UT | |
| Certified Registered Nurse Anesthetist | 367500000X | 11919050-4406 | UT | Primary |
Addresses
Primary practice location
3741 W 12600 S
Riverton, UT 84065-7215
Mailing address
PO Box 3570
Salt Lake City, UT 84110-3570
Phone (801) 727-2056
Other practice location 1
3580 W 9000 S
West Jordan, UT 84088-8812
Phone (229) 848-1124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 W 800
Orem, UT 84057-3660
Phone (801) 714-6000
Hospital & facility affiliations
- Timpanogos Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129222 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Anesthesia LC | Current | Accepting new patients | |
| Mountain West Anesthesia LLC | Current | Accepting new patients | |
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients |
Locations
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000
750 W 800 N
Orem, UT 84057
Phone (801) 714-6000
3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400
1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Orem, UT
- NPI 1043249840
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1033720461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3570",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841103570",
"telephone_number": "801-727-2056",
"fax_number": "770-701-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3741 W 12600 S",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657215",
"telephone_number": "801-727-2056",
"fax_number": "770-701-6675"
}
],
"practiceLocations": [
{
"address_1": "3580 W 9000 S",
"address_purpose": "LOCATION",
"city": "West Jordan",
"state": "UT",
"postal_code": "840888812",
"country_code": "US",
"telephone_number": "229-848-1124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "SAMANTHA",
"middle_name": "BLAIR",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "129222",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "11919050-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.