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MS. SAMANTHA JEAN SMITH R.D.
NPI 1972604635
Dietitian, Registered in Kayenta, AZ

Active since September 26, 2006
PO BOX 368, KAYENTA, AZ 86033(928) 697-4000(928) 697-4145 Get Directions Write a Review

NPPES record last updated: June 20, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Samantha Jean Smith R.d. NPPES

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

MS. SAMANTHA JEAN SMITH R.D. (NPI 1972604635) is an individual dietitian, registered in Kayenta, Arizona, licensed in Arizona (00945082) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1972604635
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. SAMANTHA JEAN SMITHCredential: R.D.
Location AddressPO BOX 368Kayenta, AZ 86033-0368
Mailing AddressHwy 160 M.p. 394.3, Po Box 3247Kayenta, AZ 86033-3247 · (928) 697-4210
Phone(928) 697-4000
Fax(928) 697-4145
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 20, 2017
✔ NPI 1972604635 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 AZ · 00945082
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.
PO BOX 368, Kayenta, AZ 86033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Samantha Jean Smith R.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
35 mi
General Acute Care Hospital
HWY 191
Rock Point, AZ 86545
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1154344133 (928) 659-4282

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KERRI LEE WHITE
Nurse's Aide
PO BOX 368
KAYENTA, AZ 86033
Navajo County (928) 697-4100
JEANNE MICHELLE PRINCE RN
Registered Nurse
PO BOX 368
KAYENTA, AZ 86033
Navajo County (928) 697-4100
MS. JUANITA YOUNG SOCIAL WORKER
Social Worker
PO BOX 368
KAYENTA, AZ 86033
Navajo County (928) 697-4183
JULIANA AUSTIN
Technician, Pathology (Phlebotomy)
PO BOX 368
KAYENTA, AZ 86033
Navajo County (928) 967-4000
TERRELL PAUL CLS, ASCP
Technician/Technologist
PO BOX 368
KAYENTA, AZ 86033
Navajo County (928) 697-4138
MICHELE GRIZZEL BSN
Emergency Medicine (Emergency Medical Services)
PO BOX 368
KAYENTA, AZ 86033
Navajo County (928) 697-4000
KIMBER LEE WILLIAMS RN
Registered Nurse
PO BOX 368
KAYENTA, AZ 86033
Navajo County (928) 697-4100
KYLE WINKELMAN
Specialist/Technologist, Pathology (Medical Technologist)
PO BOX 368
KAYENTA, AZ 86033
Navajo County (928) 697-4000

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 1972604635. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Samantha Smith located?

Samantha Smith practices at PO Box 368, Kayenta, AZ 86033. The listed phone number is (928) 697-4000.

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 enrollment system.

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 Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Rock Point, AZ). 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 June 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.