MRS. RENNY SAMUEL-WORSHAM (NPI# 1104000298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104000298 |
| Entity Type | Individual |
| Full Name | MRS. RENNY SAMUEL-WORSHAM |
| Credential | M.S.,R.D.,L.D. |
| Practice Address |
4204 Gardendale St Ste 106 San Antonio TX 78229-3138 |
| Mailing Address |
25 S Inwood Heights Dr San Antonio TX 78248-1684 |
| Practice Telephone | 2103250147 |
| Mailing Telephone | 2104087223 |
| Enumeration Date | 2007-12-25 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
DT01379 | TX | Dietary & Nutritional Service Providers |
| Street Address |
4204 GARDENDALE ST STE 106 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214802 | Claudette L'armee | Speech-Language Pathologist | 4204 Gardendale St, Ste 206, San Antonio, TX 78229-3139 | 2005-06-09 |
| 1033581590 | Mary C Waterman | Nurse Practitioner | 4204 Gardendale St, Ste 312, San Antonio, TX 78229-3132 | 2015-10-23 |
| 1427435387 | South Texas Anesthesia Group Pllc | Anesthesiology | 4204 Gardendale St, Suite 308, San Antonio, TX 78229-3132 | 2015-04-29 |
| 1669872214 | Laidee Hanika Francia | Nurse Practitioner | 4204 Gardendale St, Suite 312, San Antonio, TX 78229-3132 | 2014-09-02 |
| 1922355379 | Carly Paige Hinojosa | Physician Assistant | 4204 Gardendale St, Ste 312, San Antonio, TX 78229-3132 | 2012-08-03 |
| 1780943258 | Liz V Oliver | Nurse Practitioner | 4204 Gardendale St, Ste 312, San Antonio, TX 78229-3132 | 2012-05-03 |
| 1184916546 | Jessica A Lopez | Emergency Medicine | 4204 Gardendale St, Ste 312, San Antonio, TX 78229-3132 | 2011-05-04 |
| 1841599735 | Paul Randall Lillich | Emergency Medicine | 4204 Gardendale St, Suite 312, San Antonio, TX 78229-3132 | 2011-03-18 |
| 1063725943 | Devout Home Health, Inc. | In Home Supportive Care | 4204 Gardendale St, Ste 212, San Antonio, TX 78229-3132 | 2010-07-20 |
| 1679894067 | Gilberto Arbelaez | Emergency Medicine | 4204 Gardendale St, Suite 312, San Antonio, TX 78229-3132 | 2010-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114104 | Taryn Prado | Dietitian, Registered | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2019-09-25 |
| 1518138585 | Chelsea Rae Silay | Dietitian, Registered | 7940 Floyd Curl Dr, Suite 260, San Antonio, TX 78229-3905 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383866 | Kelsey Schoenbacher | Dietitian, Registered | 5502 Saratoga Blvd Apt 128, Corpus Christi, TX 78413-2964 | 2018-04-06 |
| 1801336714 | Alexandra Olguin | Dietitian, Registered | 2713 Blake St, Austin, TX 78748-3951 | 2017-02-27 |
| 1821447780 | Healthbex | Dietitian, Registered | 4006 Cherokee Dr, Donna, TX 78537-5844 | 2016-06-10 |
| 1700231610 | Muriel Francine Doyle | Dietitian, Registered | 905 Augusta Dr, Lufkin, TX 75901-7491 | 2016-04-28 |
| 1477939395 | Ellis Avery Morrow | Dietitian, Registered | 11134 Sheldon Bend Dr, Richmond, TX 77406-7290 | 2015-08-03 |
| 1407275712 | International Nephrology Consulting LLC | Dietitian, Registered | 6549 Copperfield Ln, Plano, TX 75023-3464 | 2014-04-15 |
| 1285068627 | Angela Dawn Coleman | Dietitian, Registered | 3402 Brookshire Run, Corinth, TX 76210-4153 | 2013-08-21 |
| 1447691381 | Kim R Wright | Dietitian, Registered | Scott & White Healthcare, 2401 S. 31st St., Temple, TX 76508-0001 | 2013-07-08 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1689923971 | Mimi H Tran | Dietitian, Registered | 3719 Shadow Wick Ln, Houston, TX 77082-5659 | 2012-09-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on MRS. RENNY SAMUEL-WORSHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.