Samantha Marie Attard, NUTRITIONIST

Key facts

NPI

1073974846

Entity type

Individual (NPI type 1)

Primary specialty

Nutritionist 133N00000X

License

NU 100000186 (DC)

Practice address

1921 Kalorama Rd NW Apt B2
Washington, DC 20009-1491

Phone

(716) 465-5948

NPI assigned

Mar 8, 2016

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 8, 2016.

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1073974846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 KALORAMA RD NW APT B2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091491",
            "telephone_number": "716-465-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 KALORAMA RD NW APT B2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200091491",
            "telephone_number": "716-465-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTARD",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "NUTRITIONIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "DC",
            "license": "NU 100000186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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