Healthcare Provider Details

I. General information

NPI: 1346879558
Provider Name (Legal Business Name): SAMANTHA BRIGGS GILCHRIST RIOS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US

IV. Provider business mailing address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-6812
  • Fax:
Mailing address:
  • Phone: 941-917-2600
  • Fax: 941-917-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9423914
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11013086
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: