Individual provider Active NPI

Samantha Roche, FNP

  • Family Nurse Practitioner
  • Garland, UT
National Provider Identifier
1760366603
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TBD Issued in UT
Practice address
300 W 1400 S
Garland, UT 84312-9100
Phone
(435) 257-3684
NPI assigned
Aug 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TBD UT Primary

Addresses

Primary practice location

300 W 1400 S
Garland, UT 84312-9100

Mailing address

10990 W 9600 N
Tremonton, UT 84337-9213
Phone (208) 240-4590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260512004630 ID Practitioner - Nurse Practitioner 7214406891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Skin Institute LLCGroup PAC ID 0648658807, 9 clinicians

Practice addresses (Care Compare)

1411 Falls Ave E
Suite 1002
Twin Falls, ID 83301-3459
Phone (208) 595-5424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TBDUTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Skin Institute LLC CurrentSince Jun 1, 2026 Accepting new patients
Bear River Medical Arts PC Family CurrentSince Aug 10, 2025 Accepting new patients
Douglas C. Walker D.O., P.C. CurrentSince Aug 10, 2025 Accepting new patients

Locations

1344 Hiland Ave
Ste D
Burley, ID 83318
Phone (208) 572-6005

1411 Falls Ave E
Ste 1002
Twin Falls, ID 83301
Phone (208) 595-5424

300 W 1400 S
Garland, UT 84312
Phone (435) 257-2469

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1760366603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 W 9600 N",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843379213",
            "telephone_number": "208-240-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 1400 S",
            "city": "GARLAND",
            "state": "UT",
            "postal_code": "843129100",
            "telephone_number": "435-257-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "SAMANTHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, UT

Sources for this page

Verify at the official NPI Registry.