Lauren Kaye Samuel, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD.08539 Issued in OH

Practice address

228 N Lawn Ave
Bluffton, OH 45817-1274

Phone

(419) 307-7879

Fax

(419) 520-9314

NPI assigned

Oct 1, 2019

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1073154167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N LAWN AVE",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171274",
            "telephone_number": "419-307-7879",
            "fax_number": "419-520-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N LAWN AVE",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171274",
            "telephone_number": "419-307-7879",
            "fax_number": "419-520-9314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "OH",
            "postal_code": "458752062",
            "country_code": "US",
            "telephone_number": "419-523-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "LAUREN",
        "middle_name": "KAYE",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.08539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Bluffton, OH
• Providers in Bluffton, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.