Individual provider Active NPI

Sammantha Raelene Francis, PA-C

  • Physician Assistant
  • Layton, UT
National Provider Identifier
1275902959
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12904006-1206 Issued in UT
Practice address
201 W Layton Pkwy Ste 1a
Layton, UT 84041-3692
Phone
(801) 543-6875
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0004982 CO
Physician Assistant 363A00000X PA10173 TX
Physician Assistant 363A00000X 60557 CA
Surgical Physician Assistant 363AS0400X PA.0004982 CO
Physician Assistant 363A00000X 12904006-1206 UT Primary

Addresses

Primary practice location

201 W Layton Pkwy Ste 1a
Layton, UT 84041-3692

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Phone (888) 663-6331

Other practice location 2

200 Medical Pkwy Ste 110
Lakeway, TX 78738
Phone (512) 654-0150

Other practice location 3

200 Medical Pkwy Ste 110
Lakeway, TX 78738
Phone (512) 654-0150

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfrancis631338@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151130000503 TX Practitioner - Physician Assistant 0840590782 Reassigns benefits to 2 organizations
I20221003003183 UT Practitioner - Physician Assistant 0840590782 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0004982COMDPhysician Assistant
12904006-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Oct 16, 2022 Accepting new patients
University of Utah Adult Services CurrentSince Mar 1, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Oct 16, 2022 Accepting new patients
Hendrick Medical Center CurrentSince Nov 4, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Mar 1, 2023 Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

1900 Pine St
Fl 7
Abilene, TX 79601
Phone (325) 670-6251

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Ste 1A
Layton, UT 84041
Phone (801) 543-5875

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: sfrancis631338@direct.med.utah.edu
  • Direct secure messaging: sfrancis@yourcarecommunity.org

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1275902959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LAYTON PKWY STE 1A",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413692",
            "telephone_number": "801-543-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Embarcadero Ctr Lbby Level",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941113823",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "78738",
            "country_code": "US",
            "telephone_number": "512-654-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "78738",
            "country_code": "US",
            "telephone_number": "512-654-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "SAMMANTHA",
        "middle_name": "RAELENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004982",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10173",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60557",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0004982",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12904006-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfrancis631338@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.