SAMANTHA SULLIVAN MS, RD, LD
NPI 1821397969
Dietitian, Registered in Alamogordo, NM
- Individual
- Female
- Dietitian, Registered
About SAMANTHA SULLIVAN
This page provides the complete NPI Profile along with additional information for Samantha Sullivan, a provider established in Alamogordo, New Mexico with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1821397969 assigned on March 2011. The practitioner's primary taxonomy code is 133V00000X with license number 1002021 (NM). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1821397969 Verify this NPI
- Provider Name
- SAMANTHA SULLIVAN MS, RD, LD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2200 1ST ST APT 312 ALAMOGORDO, NM 88310
- Location Phone
- (575) 551-1762
- Mailing Address
- 2200 1ST ST APT 312 ALAMOGORDO, NM 88310
- Mailing Phone
- (575) 551-1762
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-15-2011
- Last Update Date
- 03-15-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- License No.
- 1002021
- License State
- NM
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | LD-0775 (NM) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821397969, enumerated as an "individual" on March 15, 2011.
The provider is located at 2200 1ST ST APT 312 ALAMOGORDO, NM 88310 and the phone number is (575) 551-1762.
Dietitian, Registered with taxonomy code 133V00000X.
