SAMANTHA HARRIS MPH, RDN, LD
NPI 1023993425
Dietitian, Registered in San Antonio, TX

Active since August 06, 2025Accepts Medicare Assignment
1814 FAWN BLF, SAN ANTONIO, TX 78248(210) 240-9754 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 21, 2025, Sep 15, 2025, Aug 6, 2025 (3 updates tracked since 2025).

About Samantha Harris Mph, Rdn, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA HARRIS MPH, RDN, LD (NPI 1023993425) is an individual dietitian, registered in San Antonio, Texas, licensed in Texas (DT91180) and active in the NPI registry since August 2025. She maintains a secondary practice location in New York and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023993425
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSAMANTHA HARRISCredential: MPH, RDN, LD
Location Address1814 FAWN BLFSan Antonio, TX 78248-1579
Mailing Address1814 Fawn BlfSan Antonio, TX 78248-1579 · (210) 240-9754
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 6, 2025
Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1023993425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in TX · DT91180 Licensed in NY · 012939
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1814 FAWN BLF, San Antonio, TX 78248

Secondary Practice Location 1

Location 15 E 98th StNew York, NY 10029-6501 · Phone (212) 241-3422

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Harris Mph, Rdn, Ld is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082111208
PECOS Enrollment IDI20260120002858

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1814 FAWN BLF
SAN ANTONIO, TX 78248

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023993425, enumerated as an "individual" on August 06, 2025.

The provider is located at 1814 FAWN BLF SAN ANTONIO, TX 78248 and the phone number is (210) 240-9754.

Dietitian, Registered with taxonomy code 133V00000X.