SAMUEL DAVID RUSSO RDN
NPI 1912886375
Dietitian, Registered in Des Peres, MO
About Samuel David Russo Rdn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL DAVID RUSSO RDN (NPI 1912886375) is an individual dietitian, registered in Des Peres, Missouri, licensed in Missouri (86436000) and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Russo's NPI number?
The NPI number for Samuel Russo is 1912886375. It was assigned to this individual provider in the NPPES registry on August 29, 2025.
Where is Samuel Russo located?
Samuel Russo practices at 13100 Manchester Rd Ste 175, Des Peres, MO 63131. The listed phone number is (314) 275-0658.
What is Samuel Russo's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
When was this NPI record last updated?
The NPPES record for Samuel Russo was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.