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SAMANTHA NICOLE BURDETTE
NPI 1811797897
Dietitian, Registered in Charleston, WV

Active since March 18, 2025
600 TRACY WAY, CHARLESTON, WV 25311(304) 388-4965 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2025, Mar 18, 2025 (2 updates tracked since 2025).

About Samantha Nicole Burdette NPPES

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

SAMANTHA NICOLE BURDETTE (NPI 1811797897) is an individual dietitian, registered in Charleston, West Virginia, licensed in West Virginia (1548) and active in the NPI registry since March 2025. She maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1811797897
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSAMANTHA NICOLE BURDETTE
Location Address600 TRACY WAYCharleston, WV 25311-1262
Mailing Address400 Association Dr Ste 102Charleston, WV 25311-1298 · (304) 388-8521 · Fax (304) 388-0019
Phone(304) 388-4965
Sole ProprietorNo
Enumeration DateMarch 18, 2025
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1811797897 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 WV · 1548
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.
600 TRACY WAY, Charleston, WV 25311
Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 Nicole Burdette is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Charleston Area Medical Center, Inc.
1.6 mi
Orthopaedic Surgery
415 MORRIS ST STE 400
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1750166898 (304) 344-3551

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.

RACHAEL TAYLOR DAY RD, LD
Dietitian, Registered
600 TRACY WAY
CHARLESTON, WV 25311
Kanawha County (304) 388-4965
ADRIENNE J HARPER PT
Physical Therapist
600 TRACY WAY
CHARLESTON, WV 25311
Kanawha County (304) 388-4900
NICOLE M CHARBONNIEZ
Physical Therapist
600 TRACY WAY
CHARLESTON, WV 25311
Kanawha County (304) 388-4900
ANNA GENSLER P.T.
Physical Therapist
600 TRACY WAY
CHARLESTON, WV 25311
Kanawha County (304) 647-6006
KRISTIN A REYNOLDS PT
Physical Therapist
600 TRACY WAY
CHARLESTON, WV 25311
Kanawha County (304) 388-4900
BARBARA A. DAYE RD, LD
Dietitian, Registered
600 TRACY WAY
CHARLESTON, WV 25311
Kanawha County (304) 388-4965
MS. PEGGY L PERDUE RN, MA
Psychologist
600 TRACY WAY
CHARLESTON, WV 25311
Kanawha County (304) 388-2964
DR. JAMIE L. JEFFREY M.D.
Pediatrics
600 TRACY WAY, STE 2
CHARLESTON, WV 25311
Kanawha County (304) 388-7782

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 Burdette's NPI number?

The NPI number for Samantha Burdette is 1811797897. It was assigned to this individual provider in the NPPES registry on March 18, 2025.

Where is Samantha Burdette located?

Samantha Burdette practices at 600 Tracy Way, Charleston, WV 25311. The listed phone number is (304) 388-4965.

What is Samantha Burdette's specialty?

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

Is Samantha Burdette enrolled in Medicare?

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

Which organization bills Medicare for Samantha Burdette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Burdette reassigns Medicare benefits to Charleston Area Medical Center, Inc. (Charleston, WV). 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 Burdette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Burdette accept?

Health plans from CareSource list Samantha Burdette 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 Burdette was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.