Lauren Kaye Samuel, RDN, LD
Individual provider Active NPI Registered Dietitian · Bluffton, OH
NPI 1073154167 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1073154167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD.08539 (OH)
- Practice address
- 228 N Lawn Ave
Bluffton, OH 45817-1274 - Phone
- (419) 307-7879
- Fax
- (419) 520-9314
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.08539 | OH | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.08539 | OH | Yes |
Addresses
Primary practice location
228 N Lawn Ave
Bluffton, OH 45817-1274
Mailing address
228 N Lawn Ave
Bluffton, OH 45817-1274
Phone (419) 307-7879
Other practice location 1
1205 E 3rd St
Ottawa, OH 45875-2062
Phone (419) 523-5080
Other providers in Bluffton, OH
- Ohio CVS Stores, L.L.C.
- Orthopaedic Institute of Ohio
- Elizabeth Ann Patterson
- Jennifer Lynn Rieman
- Kaitlynn Rieman
- Kimberly Schimmoeller
- Tyer Drew Schlosser
- Elizabeth Ann Schmidt
- Christine Schroeder
- Trustworthy Siphinkosi Schumacher
All providers in Bluffton, OH · Registered Dietitian in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.