Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Butalid, FNP-BC, MSN, CNS, RN

Individual provider Gerontology Clinical Nurse Specialist · NPI 1174100010

Samantha Butalid, FNP-BC, MSN, CNS, RN is a Nurse Practitioner in Stanford, California. Qualified in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Quality Dr, Vacaville, CA 95688-9494 — (707) 624-3235

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95016996 (CA)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 2970 (CA)

Record details

NPI number1174100010
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , MSN , CNS , RN
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 1, 2023
Certification dateApril 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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