MS. MARILYN L SAMPLE RD
NPI 1720304710
Dietitian, Registered in Sacaton, AZ

Q: What is Marilyn Sample's NPI number?

The NPI number for Marilyn Sample is 1720304710. It was assigned to this individual provider in the NPPES registry on April 15, 2010. The provider is also known as Miss Marilyn L Haavisto Rd.

Q: What is Marilyn Sample'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 Marilyn Sample was last updated on April 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 15, 2010

483 W. SEED FARM RD, SACATON, AZ 85147(602) 258-1340(602) 528-1296 Get Directions Write a Review

NPPES record last updated: April 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Marilyn L Sample Rd NPPES

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

MS. MARILYN L SAMPLE RD (NPI 1720304710) is an individual dietitian, registered in Sacaton, Arizona, licensed in Illinois (685690) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1720304710

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMS. MARILYN L SAMPLECredential: RD

Location Address483 W. SEED FARM RDSacaton, AZ 85147-0115

Mailing Address483 W. Seed Farm Rd.Sacaton, AZ 85147-0115 · (602) 528-1340 · Fax (602) 528-1296

Phone(602) 258-1340

Fax(602) 528-1296

Sole ProprietorNo

Enumeration DateApril 15, 2010

✔ NPI 1720304710 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 IL · 685690

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.

483 W. SEED FARM RD, Sacaton, AZ 85147

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Other Names 1

Former Name (1)Miss Marilyn L Haavisto Rd

Other Providers at the Same Location NPPES 11

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

MELISSA R LILL CRNP

Nurse Practitioner (Women's Health)