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MRS. RENNY SAMUEL-WORSHAM M.S.,R.D.,L.D.
NPI 1104000298
Dietitian, Registered - Nutrition, Renal in San Antonio, TX

Active since December 25, 2007
4204 GARDENDALE ST, STE 106, SAN ANTONIO, TX 78229(210) 325-0147 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Renny Samuel-worsham M.s.,r.d.,l.d. NPPES

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

MRS. RENNY SAMUEL-WORSHAM M.S.,R.D.,L.D. (NPI 1104000298) is an individual nutrition, renal provider in San Antonio, Texas, licensed in Texas (DT01379) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1104000298
Entity TypeIndividualFemale
Primary Taxonomy133VN1005X
Provider Legal NameMRS. RENNY SAMUEL-WORSHAMCredential: M.S.,R.D.,L.D.
Location Address4204 GARDENDALE ST, STE 106San Antonio, TX 78229-3138
Mailing Address25 S Inwood Heights DrSan Antonio, TX 78248-1684 · (210) 408-7223
Phone(210) 325-0147
Sole ProprietorYes
Enumeration DateDecember 25, 2007
Last NPPES UpdateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1104000298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
License✔ Licensed in TX · DT01379
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
4204 GARDENDALE ST, San Antonio, TX 78229
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Other Providers at the Same Location NPPES 17

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

MARY C WATERMAN NP
Nurse Practitioner (Family)
4204 GARDENDALE ST, STE 312
SAN ANTONIO, TX 78229
Bexar County (210) 293-6006
CLAUDETTE L'ARMEE M.A., C.C.C.
Speech-Language Pathologist
4204 GARDENDALE ST, STE 206
SAN ANTONIO, TX 78229
Bexar County (210) 615-8484
JOHN G. DIMLER
Counselor (Professional)
4204 GARDENDALE ST, SUITE 203
SAN ANTONIO, TX 78229
Bexar County (210) 614-8452
MR. JOHN G DIMLER LPC, LCSW
Social Worker
4204 GARDENDALE ST, STE 203
SAN ANTONIO, TX 78229
Bexar County (210) 614-8452
DEVOUT HOME HEALTH, INC.
Home Health
4204 GARDENDALE ST, STE 212
SAN ANTONIO, TX 78229
Bexar County (210) 549-2986
DR. SEBRINA D PERKINS MD
Pediatrics (Pediatric Emergency Medicine)
4204 GARDENDALE ST, STE 312
SAN ANTONIO, TX 78229
Bexar County (210) 614-0180
GREATER SAN ANTONIO EMERGENCY PHYSICIANS, PA
Emergency Medicine
4204 GARDENDALE ST, SUITE 312
SAN ANTONIO, TX 78229
Bexar County (210) 293-6006
AMITABH BHANDARI
Anesthesiology
4204 GARDENDALE ST, SUITE 308
SAN ANTONIO, TX 78229
Bexar County (210) 787-2351

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 Renny Samuel-worsham's NPI number?

The NPI number for Renny Samuel-worsham is 1104000298. It was assigned to this individual provider in the NPPES registry on December 25, 2007.

Where is Renny Samuel-worsham located?

Renny Samuel-worsham practices at 4204 Gardendale St Ste 106, San Antonio, TX 78229. The listed phone number is (210) 325-0147.

What is Renny Samuel-worsham's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

When was this NPI record last updated?

The NPPES record for Renny Samuel-worsham was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.