SAMANTHA ELLIS (NPI# 1285044750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285044750 |
| Entity Type | Individual |
| Full Name | SAMANTHA ELLIS |
| Credential | MS, RD |
| Practice Address |
44 Pleasant Ave Walden NY 12586-1240 |
| Practice Telephone | 8455978128 |
| Mailing Telephone | 8455978128 |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1033283 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841652567 | Samantha Michelle Ellis | Social Worker | 11097 Se 21st Ave, Milwaukie, OR 97222-7640 | 2016-03-22 |
| 1174918098 | Samantha Rose Ellis | Dermatology | 600 San Ramon Valley Blvd Ste 102, Danville, CA 94526-4021 | 2015-03-30 |
| 1811417736 | Samantha Ellis | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375 | 2017-06-21 |
| 1356799985 | Samantha Ellis | Nurse Practitioner | 15420 N 32nd Dr, Phoenix, AZ 85053 | 2016-05-24 |
| 1710341391 | Samantha Ellis | Nutritionist | 8915 Sw Center St, Tigard, OR 97223-6307 | 2016-04-08 |
| 1861861429 | Samantha Ellis | Counselor | 487 Center St, Manchester, CT 06040-3982 | 2015-09-24 |
| 1578962437 | Samantha A Ellis | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2014-08-17 |
| 1164726063 | Samantha Lee Ellis | Registered Nurse | 6200 Sw 73rd St, South Miami, FL 33143-4679 | 2011-01-06 |
| Street Address |
44 PLEASANT AVE |
| City | WALDEN |
| State | NY |
| Zip Code | 12586-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396098000 | A Class 1-s Transportation Corporation | Non-emergency Medical Transport (VAN) | 56 Monro Street, Walden, NY 12586 | 2012-10-18 |
| 1851572978 | Cynthia Grant | Licensed Practical Nurse | 336 Derea Rd., Walden, NY 12586 | 2007-11-16 |
| 1568657005 | Walden Medical, Pllc | Physician Assistant | 142 South Montgomery St, Walden, NY 12586 | 2007-09-07 |
| 1053495176 | Samuel Michael Cerone | Physical Therapist | 152 Orange Ave, Walden, NY 12586 | 2006-10-25 |
| 1851480883 | Faisal Uppal | Dentist | 10 Orchard St., Hampton Family Dentistry of Walden, Walden, NY 12586 | 2006-10-11 |
| 1376649335 | Lcl Physical Therapy | Physical Therapist | 152 Orange Avenue, Orange Physical Therapy, Walden, NY 12586 | 2006-09-16 |
| 1649372988 | Khanjee Pharmacy Inc | Pharmacy | 38 Grant Street, Walden, NY 12586 | 2006-09-05 |
| 1760446389 | Donald P Segal | Podiatrist | 13 Orange Ave, Walden, NY 12586 | 2006-04-12 |
| 1568939627 | Karen J Schreiber | Registered Nurse | 21 Pleasant Ave, Walden, NY 12586 | 2018-10-26 |
| 1578786109 | Yoo Seok Lee | Dentist | 57 Main Street, Walden, NY 12586 | 2007-04-11 |
| Find all providers in zip 12586 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013910 | Kelsey Rose Schaffstall | Dietitian, Registered | 52 Ashley Dr, West Seneca, NY 14224-4357 | 2020-11-06 |
| 1013518232 | Leslie Wayte Heineman | Dietitian, Registered | 220 Evandale Rd, Scarsdale, NY 10583-1530 | 2020-11-04 |
| 1205437423 | Christine Clement | Dietitian, Registered | 319 W 76th St Apt 4, New York, NY 10023-8045 | 2020-11-04 |
| 1578164745 | Suzanne Finkel | Dietitian, Registered | 215 Saint James Pl Apt 1a, Brooklyn, NY 11238-2374 | 2020-11-04 |
| 1427659788 | Sabroso Nutrition, LLC | Dietitian, Registered | 2818 Morris Ave, Bronx, NY 10468-2802 | 2020-11-03 |
| 1780285320 | Khy Ee Siew | Dietitian, Registered | 3 Horizon Rd, Great Neck, NY 11020-1143 | 2020-11-02 |
| 1699376285 | Naudia V Jones | Dietitian, Registered | 2111 Foster Ave Apt 1b, Brooklyn, NY 11210-1016 | 2020-11-02 |
| 1982203519 | Grace Young Ko | Dietitian, Registered | 15009 Northern Blvd Fl 4, Flushing, NY 11354-3888 | 2020-10-24 |
| 1538768247 | Rose Urkevich | Dietitian, Registered | 65 Lake Shore Dr, Troy, NY 12180-9722 | 2020-10-23 |
| 1083213763 | Sarah Bourdet | Dietitian, Registered | 4314 60th St Apt 4b, Woodside, NY 11377-4914 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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| 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.