Individual provider Active NPI

Samantha Shuflin, MS, RDN, LDN

  • Registered Dietitian
  • Chicago, IL
National Provider Identifier
1033697180
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
164007407 Issued in IL
Practice address
7234 W North Ave Ste 208
Chicago, IL 60707-4202
Phone
(888) 217-5770
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164007407 IL Primary

Addresses

Primary practice location

7234 W North Ave Ste 208
Chicago, IL 60707-4202

Mailing address

7234 W North Ave Ste 208
Chicago, IL 60707-4202

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164007407ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted Health PLLC Dietitian, Registered Current Accepting new patients
PHC of Buffalo Grove Clinical Psychology Dietitian, Registered Past Accepting new patients

Locations

7234 W North Ave
Ste 208
Elmwood Park, IL 60707
Phone (847) 529-8990

Organizations & group practices 2

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1033697180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 W NORTH AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7234 W NORTH AVE STE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074202",
            "telephone_number": "888-217-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFLIN",
        "first_name": "SAMANTHA",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164007407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; 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.