Active NPI
Samantha Leyh, RD
- Registered Dietitian
- Beavercreek, OH
National Provider Identifier
1003476110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.08608
- Practice address
- 3527 Onyx Cir Apt 11
Beavercreek, OH 45431-3750 - Phone
- (908) 433-3511
- NPI assigned
- Jun 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.08608 | OH | Primary |
Addresses
Primary practice location
3527 Onyx Cir Apt 11
Beavercreek, OH 45431-3750
Mailing address
3001 E Linden St
Tucson, AZ 85716-3129
Phone (908) 433-3511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.08608 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1003476110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 E LINDEN ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857163129",
"telephone_number": "908-433-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 ONYX CIR APT 11",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313750",
"telephone_number": "908-433-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYH",
"first_name": "SAMANTHA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.08608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.