Active NPI
Samantha Topham, RN
- Certified Registered Nurse Anesthetist
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 92664943102
- Practice address
- 2221 Lakeside Blvd Ste 600 Richardson TX 75082
Ste 600
Richardson, TX 75082 - Phone
- (469) 998-7443
- NPI assigned
- Mar 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 92664943102 | UT | Primary |
Addresses
Primary practice location
2221 Lakeside Blvd Ste 600 Richardson TX 75082
Ste 600
Richardson, TX 75082
Mailing address
1904 E Longbranch Dr
Draper, UT 84020-5536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NM
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000
5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443
Hospital & facility affiliations
- Presbyterian Hospital
- American Fork Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92664943102 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients | |
| NPH Anesthesia of Utah, LLC | Current | Accepting new patients |
Locations
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
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 2
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
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1154956274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 E LONGBRANCH DR",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 LAKESIDE BLVD STE 600 RICHARDSON TX 75082",
"address_2": "STE 600",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75082",
"telephone_number": "469-998-7443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOPHAM",
"first_name": "SAMANTHA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2024-04-03",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "92664943102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.