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SAMANTHA BURKE RD
NPI 1831976679
Dietitian, Registered in Gainesville, FL

Active since September 14, 2023
1600 SW ARCHER RD, GAINESVILLE, FL 32610(865) 399-5057 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Burke Rd NPPES

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

SAMANTHA BURKE RD (NPI 1831976679) is an individual dietitian, registered in Gainesville, Florida, licensed in Florida (12266) and active in the NPI registry since September 2023. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1831976679
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSAMANTHA BURKECredential: RD
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address105 Weeping Willow WayKingsland, GA 31548-3242 · (865) 399-5057
Phone(865) 399-5057
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1831976679 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 FL · 12266
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.
1600 SW ARCHER RD, Gainesville, FL 32610
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Blue Cross and Blue Shield of Montana.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 Burke Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476046079
PECOS Enrollment IDI20251202003681

Medicare Billing Reassignment

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

Shands Teaching Hospital And Clinics Inc
Same address
Clinic/Center
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group
NPI 1821184649 (352) 594-0827

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.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Burke's NPI number?

The NPI number for Samantha Burke is 1831976679. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Samantha Burke located?

Samantha Burke practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (865) 399-5057.

What is Samantha Burke's specialty?

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

Is Samantha Burke enrolled in Medicare?

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

Which organization bills Medicare for Samantha Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Burke reassigns Medicare benefits to Shands Teaching Hospital And Clinics Inc (Gainesville, FL). 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 Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Burke accept?

Health plans from AvMed and Blue Cross and Blue Shield of Montana list Samantha Burke 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 Burke was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.