SAMANTHA ANNITZA LAZAR RD
NPI 1053012591
Dietitian, Registered in Chicago, IL

Active since March 13, 2023
2045 W GRAND AVE STE B, PMB 37767, CHICAGO, IL 60612(800) 827-7437 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2025, Mar 13, 2023 (2 updates tracked since 2023).

About Samantha Annitza Lazar Rd NPPES

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

SAMANTHA ANNITZA LAZAR RD (NPI 1053012591) is an individual dietitian, registered in Chicago, Illinois, licensed in Missouri (2023008696) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1053012591
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSAMANTHA ANNITZA LAZARCredential: RD
Location Address2045 W GRAND AVE STE B, PMB 37767Chicago, IL 60612-1577
Mailing Address2045 W Grand Ave Ste BChicago, IL 60612-1577 · (916) 661-1400
Sole ProprietorNo
Enumeration DateMarch 13, 2023
Last NPPES UpdateSeptember 29, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1053012591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in MO · 2023008696
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.

2045 W GRAND AVE STE B, Chicago, IL 60612

Other Names 1

Former Name (1)Samantha Annitza Mcenhill

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Counselor (Professional)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Health and Wellness Coach
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Physician Assistant (Medical)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Health and Wellness Coach
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Nurse Practitioner (Family)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Nurse Practitioner (Psychiatric/Mental Health)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Psychiatry & Neurology (Neurology)
2045 W GRAND AVE STE B
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Lazar's NPI number?

The NPI number for Samantha Lazar is 1053012591. It was assigned to this individual provider in the NPPES registry on March 13, 2023. The provider is also known as Samantha Annitza Mcenhill.

Where is Samantha Lazar located?

Samantha Lazar practices at 2045 W Grand Ave Ste B Pmb 37767, Chicago, IL 60612. The listed phone number is (800) 827-7437.

What is Samantha Lazar's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Samantha Lazar was last updated on September 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.