MS. SAMANTHA AN TILLEY MS, RDN, LDN
NPI 1679457469
Dietitian, Registered in Shiloh, IL

Active since August 04, 2025
1161 FORTUNE BLVD STE 200, SHILOH, IL 62269(314) 804-1848 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Samantha An Tilley Ms, Rdn, Ldn NPPES

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

MS. SAMANTHA AN TILLEY MS, RDN, LDN (NPI 1679457469) is an individual dietitian, registered in Shiloh, Illinois, licensed in Missouri (2025028595) and active in the NPI registry since August 2025. She maintains a secondary practice location in Kirkwood.

NPPES Registry Identity

NPI1679457469
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. SAMANTHA AN TILLEYCredential: MS, RDN, LDN
Location Address1161 FORTUNE BLVD STE 200Shiloh, IL 62269-7385
Mailing Address9089 North AveSaint Louis, MO 63114-4063
Sole ProprietorNo
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
NPI 1679457469 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 · 2025028595
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.
1161 FORTUNE BLVD STE 200, Shiloh, IL 62269

Secondary Practice Location 1

Location 110525 Big Bend RdKirkwood, MO 63122-6227 · Phone (314) 804-1848

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Adult Mental Health)
1161 FORTUNE BLVD STE 200
SHILOH, IL 62269
Dietitian, Registered
1161 FORTUNE BLVD STE 200
SHILOH, IL 62269
Counselor
1161 FORTUNE BLVD STE 200
SHILOH, IL 62269
Dietitian, Registered
1161 FORTUNE BLVD STE 200
SHILOH, IL 62269
Dietitian, Registered
1161 FORTUNE BLVD STE 200
SHILOH, IL 62269

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 Tilley's NPI number?

The NPI number for Samantha Tilley is 1679457469. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Samantha Tilley located?

Samantha Tilley practices at 1161 Fortune Blvd Ste 200, Shiloh, IL 62269. The listed phone number is (314) 804-1848.

What is Samantha Tilley'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 Tilley was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.