SAMANTHA MARIA REYES RDN
NPI 1164361374
Dietitian, Registered in Louisville, KY

Q: What is Samantha Reyes's NPI number?

The NPI number for Samantha Reyes is 1164361374. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Q: What is Samantha Reyes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Reyes was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 25, 2026

411 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 435-7904 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Samantha Maria Reyes Rdn NPPES

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

SAMANTHA MARIA REYES RDN (NPI 1164361374) is an individual dietitian, registered in Louisville, Kentucky, licensed in Kentucky (306480) and active in the NPI registry since March 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1164361374

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSAMANTHA MARIA REYESCredential: RDN

Location Address411 E CHESTNUT STLouisville, KY 40202-1713

Mailing Address411 E Chestnut StLouisville, KY 40202-1713 · (502) 435-7904

Phone(502) 435-7904

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1164361374 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 KY · 306480

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.

411 E CHESTNUT ST, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Maria Reyes Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587132865

PECOS Enrollment IDI20260505002869

Medicare Billing Reassignment

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

Norton Children's Medical Group, LLC

10 mi

Clinical Genetics (M.D.)

4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: Norton Childrens Medical Group LLC
1,008 clinicians in this Medicare group

NPI 1013559921 (502) 272-5336

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 20

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

PATRICIA GAIL WILLIAMS MD

Pediatrics (Developmental - Behavioral Pediatrics)

411 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 588-0850

MS. KIMBERLY LYNNE HALL DNP FNP-BC

Nurse Practitioner (Family)

411 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 588-2201

MS. ANN ELIZABETH LORIMER PA-C

Physician Assistant

411 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 588-7600

AMANDA BRIAN ROGERS MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

411 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 588-3650

HALLEY STEWART GC

Genetic Counselor, MS

411 E CHESTNUT ST, LEVEL 2
LOUISVILLE, KY 40202

Jefferson County (502) 588-0850

DR. MARY E FALLAT M.D.

Surgery (Pediatric Surgery)

411 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 588-0390

JESSICA RAY COLEMAN APRN

Nurse Practitioner (Family)

411 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 588-3400

ALICE BOOS-EDWARDS APRN

Nurse Practitioner (Pediatrics)

411 E CHESTNUT ST
LOUISVILLE, KY 40202

Jefferson County (502) 588-2201

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 Reyes's NPI number?

The NPI number for Samantha Reyes is 1164361374. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Samantha Reyes located?

Samantha Reyes practices at 411 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 435-7904.

What is Samantha Reyes's specialty?

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

Is Samantha Reyes enrolled in Medicare?

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

Which organization bills Medicare for Samantha Reyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Reyes reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). 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 Reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Reyes accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Samantha Reyes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Reyes was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.