Individual provider Active NPI

Sammy Kiptoo Kiprotich

  • Family Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1992619308
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1244543 Issued in TX
Practice address
941 York Dr Ste 201
Desoto, TX 75115-2066
Phone
(682) 200-4272
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 1244543 TX Primary

Addresses

Primary practice location

941 York Dr Ste 201
Desoto, TX 75115-2066

Mailing address

6055 Determine LN
Forney, TX 75126-3973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1992619308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 DETERMINE LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 YORK DR STE 201",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152066",
            "telephone_number": "682-200-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPROTICH",
        "first_name": "SAMMY",
        "middle_name": "KIPTOO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1244543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.