Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL GEBREMEDHN ETAY
Active Sole ProprietorSAMUEL GEBREMEDHN ETAY is a Community Health Worker healthcare provider located in MERIDIAN, Idaho. NPI 1417811498 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · MERIDIAN, ID
Registration Details
- NPI Number
- 1417811498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2025 (0.62800882266318 yrs)
- Last Updated
- Dec 12, 2025
- License
-
NONE (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6269 S ASPIRATION AVEMERIDIAN, ID, 836421058Browse ID providers · Browse ZIP 83642
- Phone
- 9704493655
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| CHERYL BOTTING-HAMMACK | M.S. | 1376955013 |
| PAVEL L ZAVERUKHA | — | 1124561063 |
| LYUBOV ZAVERUKHA | — | 1811430770 |
| SETH LEONARD | BS | 1821858150 |
| KRISTY HARDY | — | 1003667031 |
| ZACHARY STEARS | — | 1487513040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.