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SAMANTHA DONALD RD
NPI 1164277315
Dietitian, Registered in Camillus, NY

Active since April 22, 2024
5100 W GENESEE ST, CAMILLUS, NY 13031(315) 460-0802 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Apr 22, 2024 (2 updates tracked since 2024).

About Samantha Donald Rd NPPES

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

SAMANTHA DONALD RD (NPI 1164277315) is an individual dietitian, registered in Camillus, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1164277315
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSAMANTHA DONALDCredential: RD
Location Address5100 W GENESEE STCamillus, NY 13031-2354
Mailing Address5100 W Genesee StCamillus, NY 13031-2354
Phone(315) 460-0802
Sole ProprietorNo
Enumeration DateApril 22, 2024
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1164277315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
5100 W GENESEE ST, Camillus, NY 13031
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Donald Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samantha Donald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sarah Lynn Nutrition
Same address
Dietitian, Registered
5100 W GENESEE ST
Camillus, NY 13031
  • Reassigned Medicare billing, New York enrollment
  • 50 clinicians in this Medicare group
NPI 1730851346 (315) 334-2306

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

FRANK J TOTINO LMT
Massage Therapist
5100 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 439-7700
SKYLER GRAY SABETPOUR RDN
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 401-0590
RACHEL JANETTE JENDROWSKI
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 401-0590
SARAH LYNN QUICK MS, RDN
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 401-0590
SARAH LYNN NUTRITION
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 334-2306
NOELLE FINES RDN LDN
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 401-0054
KELSEY HAECK MS, RDN
Dietitian, Registered
5100 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 401-0054
LINDATROIA,LCSW, P.C.
Social Worker (Clinical)
5100 W GENESEE ST
CAMILLUS, NY 13031
Onondaga County (315) 487-2770

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 Donald's NPI number?

The NPI number for Samantha Donald is 1164277315. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Samantha Donald located?

Samantha Donald practices at 5100 W Genesee St, Camillus, NY 13031. The listed phone number is (315) 460-0802.

What is Samantha Donald's specialty?

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

Is Samantha Donald enrolled in Medicare?

Yes. Samantha Donald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Donald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Donald reassigns Medicare benefits to Sarah Lynn Nutrition (Camillus, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Donald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Donald was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.