Registry record
- NPI
- 1417355819
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 1800 Gurley Ln
Waco, TX 76706 - Phone
- 2543136000
- In the registry since
- December 17, 2014
- Last NPPES update
- November 3, 2016
- Sole proprietor
- No
- License
- PA09447 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Samantha Ethridge is 1417355819. They are a Physician Assistant in Waco, Texas.
Samantha Ethridge is one of 72 Physician Assistants in Waco and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 11 years, since December 17, 2014.
Frequently asked questions
What is NPI 1417355819?
NPI 1417355819 is the 10-digit National Provider Identifier assigned to Samantha Ethridge, a Physician Assistant practicing in Waco, Texas. The record has been in the NPPES registry since December 17, 2014.
How do I verify this provider?
Cross-check NPI 1417355819 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA09447 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as November 3, 2016. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.