Nutrinerd LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRINERD LLC

Practice address

3840 S Apopka Ave
Inverness, FL 34452-7091

Phone

(408) 489-2251

Fax

(352) 726-2847

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Samantha Lee Hamlin, RDNPI 1023585114

Title

Provider

Phone

(352) 651-2669

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Lee Hamlin, RD

  • Registered Dietitian
  • Spring Hill, FL
  • NPI 1023585114
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1093394678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 S APOPKA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344527091",
            "telephone_number": "352-651-2669",
            "fax_number": "352-726-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 S APOPKA AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344527091",
            "telephone_number": "408-489-2251",
            "fax_number": "352-726-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRINERD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "HAMLIN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "352-651-2669",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "8946",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8946",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AthenaHealth",
            "affiliation": "N",
            "endpointDescription": "cloud based EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "athenanet",
            "address_1": "3840 S Apopka Ave",
            "city": "Inverness",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344527091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Inverness, FL
• Providers in Inverness, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.