Samantha Nichole Rodriguez, RDN, LDN, MS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT89730 Issued in TX

Practice address

1901 Medi Park Dr Ste 222
Amarillo, TX 79106-2107

Phone

(806) 673-2833

NPI assigned

May 24, 2024

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Assimilate Nutrition

  • Registered Dietitian
  • Amarillo, TX
  • NPI 1225807829

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1104665405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 DARTMOUTH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161335",
            "telephone_number": "260-388-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 222",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062107",
            "telephone_number": "806-673-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SAMANTHA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LDN, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Andrea Rodriguez, PHARM.D.
• Juan C Rodriguez, D.D.S.
• Manuel Rodriguez, MD
• Pablo S Rodriguez, MD
• Raquel Rodriguez
• Yesenia Rodriguez
• Ryley L Rodriques, PT
• Alize Rodriquez
• Christopher Adam Roe, CRNA
• Christi Ann Rogers, MSN, RN, FNP-C

• Registered Dietitian in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.