Samantha Riquel Prince-Perez, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT84116 Issued in TX

Practice address

7000 Woodhue Dr
Austin, TX 78745-5454

Phone

(512) 439-8924

NPI assigned

Nov 25, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1023551942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "877-800-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 WOODHUE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455454",
            "telephone_number": "512-439-8924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 University Blvd Ste 1.707",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651032",
            "country_code": "US",
            "telephone_number": "512-509-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE-PEREZ",
        "first_name": "SAMANTHA",
        "middle_name": "RIQUEL",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-25",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam.princeperez.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "7000 Woodhue Dr",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787455454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Prime Med Group TX LLC
• Prime Star Home Health of Central Texas, Inc.
• Primero Health, Inc
• Primo Performance and Rehabilitation, Inc.
• Jane Elizabeth Prince Maclean, LCSW-S
• Dianna Prince
• Emily A Prince, LCSW
• Gabriela Prince
• Joseph Prince
• Kevin Jostan Prince, PH.D.

• Registered Dietitian in Austin, TX
• Providers in Austin, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.