Individual provider Active NPI

Samantha Harris, MPH, RDN, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1023993425
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT91180 Issued in TX
Practice address
1814 Fawn BLF
San Antonio, TX 78248-1579
Phone
(210) 240-9754
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 012939 NY
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT91180 TX Primary

Addresses

Primary practice location

1814 Fawn BLF
San Antonio, TX 78248-1579

Mailing address

1814 Fawn BLF
San Antonio, TX 78248-1579
Phone (210) 240-9754

Other practice location 1

5 E 98th St
New York, NY 10029-6501
Phone (212) 241-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251006003207 TX Practitioner - Registered Dietitian Or Nutrition Professional 4082111208 Reassigns benefits to 1 organization
I20260120002858 NY Practitioner - Registered Dietitian Or Nutrition Professional 4082111208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

5 E 98TH St
New York, NY 10029-6501
Phone (212) 241-7975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Harris Consulting LLC Dietitian, Registered CurrentSince Aug 28, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Dec 7, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Single Specialty CurrentSince Dec 7, 2025 Accepting new patients

Locations

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1023993425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 FAWN BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481579",
            "telephone_number": "210-240-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 FAWN BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782481579",
            "telephone_number": "210-240-9754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 E 98th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296501",
            "country_code": "US",
            "telephone_number": "212-241-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SAMANTHA",
        "credential": "MPH, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "012939",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT91180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.