THOMAS JACK SAMPSON
NPI 1861019804
Nutritionist in Menomonie, WI

Active since June 25, 2020
2021 BROADWAY ST S, MENOMONIE, WI 54751(715) 308-3837 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Jack Sampson NPPES

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

THOMAS JACK SAMPSON (NPI 1861019804) is an individual nutritionist in Menomonie, Wisconsin, licensed in (1124661) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1861019804
Entity TypeIndividualMale
Primary Taxonomy133N00000X
Provider Legal NameTHOMAS JACK SAMPSON
Location Address2021 BROADWAY ST SMenomonie, WI 54751-3950
Mailing Address2021 Broadway St SMenomonie, WI 54751-3950 · (715) 308-3837
Sole ProprietorNo
Enumeration DateJune 25, 2020
NPPES CertifiedJune 25, 2020
NPI 1861019804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License Licensed · 1124661
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
2021 BROADWAY ST S, Menomonie, WI 54751

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 Thomas Sampson's NPI number?

The NPI number for Thomas Sampson is 1861019804. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Thomas Sampson located?

Thomas Sampson practices at 2021 Broadway St S, Menomonie, WI 54751. The listed phone number is (715) 308-3837.

What is Thomas Sampson's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Thomas Sampson was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.