SAMANTHA CATHERINE SMITH RD
NPI 1902569973
Dietitian, Registered in Arlington, VA
About Samantha Catherine Smith Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA CATHERINE SMITH RD (NPI 1902569973) is an individual dietitian, registered in Arlington, Virginia, licensed in Virginia (86173334) and active in the NPI registry since October 2021. She is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Catherine Smith Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Herndon, VA 20170
- Reassigned Medicare billing, District of Columbia enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Smith's NPI number?
The NPI number for Samantha Smith is 1902569973. It was assigned to this individual provider in the NPPES registry on October 18, 2021.
Where is Samantha Smith located?
Samantha Smith practices at 4000 Fairfax Dr Apt 1016, Arlington, VA 22203. The listed phone number is (717) 668-7191.
What is Samantha Smith's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Samantha Smith enrolled in Medicare?
Yes. Samantha Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samantha Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Smith reassigns Medicare benefits to Juno Wellness (Herndon, VA). 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 Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Smith was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Samantha Catherine Smith, RD · NPI 1902569973
Dietitian, Registered provider in Arlington, Virginia. Individual provider, active in the CMS NPPES registry since October 18, 2021.
## Identity
- **NPI:** 1902569973 (Entity type: Individual)
- **Enumerated:** October 18, 2021
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 86173334 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4000 FAIRFAX DR APT 1016, Arlington, VA 22203-1131
- **Phone:** (717) 668-7191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Juno Wellness (NPI 1265155337, Herndon, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1902569973) · Data from the CMS NPPES public registry.