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MR. SAMUEL GEORGE TAMBEAUX RDN, LDN
NPI 1124672654
Dietitian, Registered in Michigan City, IN

Active since August 01, 2019
8865 W 400 N STE 125, MICHIGAN CITY, IN 46360(219) 879-0333(219) 861-8570 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2021, Mar 11, 2021, Aug 23, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Samuel George Tambeaux Rdn, Ldn NPPES

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

MR. SAMUEL GEORGE TAMBEAUX RDN, LDN (NPI 1124672654) is an individual dietitian, registered in Michigan City, Indiana, licensed in Indiana (37003128A) and active in the NPI registry since August 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124672654
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. SAMUEL GEORGE TAMBEAUXCredential: RDN, LDN
Location Address8865 W 400 N STE 125Michigan City, IN 46360-9193
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Phone(219) 879-0333
Fax(219) 861-8570
Sole ProprietorNo
Enumeration DateAugust 1, 2019
Last NPPES UpdateOctober 12, 20214 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1124672654 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 IN · 37003128A✔ Licensed in IL · 164.007751
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.
8865 W 400 N STE 125, Michigan City, IN 46360
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Secondary Practice Locations 2

Location 120201 Crawford AveOlympia Fields, IL 60461-1010 · Phone (708) 679-2120
Location 24932 W 95th StOak Lawn, IL 60453 · Phone (708) 422-5658

Other Providers at the Same Location NPPES

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

MRS. DIANE MARIE MORROW FNP
Nurse Practitioner (Family)
8865 W 400 N STE 125
MICHIGAN CITY, IN 46360
Laporte County (219) 214-4401

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 Samuel Tambeaux's NPI number?

The NPI number for Samuel Tambeaux is 1124672654. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Samuel Tambeaux located?

Samuel Tambeaux practices at 8865 W 400 N Ste 125, Michigan City, IN 46360. The listed phone number is (219) 879-0333.

What is Samuel Tambeaux'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 Samuel Tambeaux was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.