Individual provider Active NPI

Samantha L Hight, RD

  • Registered Dietitian
  • Livonia, MI
National Provider Identifier
1114663317
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
Iha Livonia Primary Care
19000 St. Joe's Parkway Suite 200
Livonia, MI 48152
Phone
(734) 213-3685
Fax
(734) 213-3686
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

Iha Livonia Primary Care
19000 St. Joe's Parkway Suite 200
Livonia, MI 48152

Mailing address

24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI 48105-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525000287 MI Practitioner - Registered Dietitian Or Nutrition Professional 2860879244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Ooma Primary LLCGroup PAC ID 7012316664, 45 clinicians

Practice addresses (Care Compare)

6770 Dixie Hwy
Suite 303
Clarkston, MI 48346-2090
Phone (248) 625-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Ooma Primary LLC Current Accepting new patients
Iha Ooma Primary LLC CurrentSince May 9, 2022 Accepting new patients
Iha Olma Primary Care Risk LLC Current Accepting new patients
Iha Ooma Primary LLC CurrentSince May 9, 2022 Accepting new patients
Iha Health Services Corporation Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

43097 Woodward Ave
Ste 204
Bloomfield Township, MI 48302
Phone (248) 334-3136

6770 Dixie Hwy
Ste 303
Clarkston, MI 48346
Phone (248) 625-0030

2630 Union Lake Rd
Ste 100
Commerce Township, MI 48382
Phone (248) 360-1200

4123 Martin Rd
Ste 102
Commerce Township, MI 48390
Phone (248) 366-3700

1375 S Lapeer Rd
Ste 210
Lake Orion, MI 48360
Phone (248) 693-5700

19000 St Joes Pkwy
Ste 200
Livonia, MI 48152
Phone (734) 213-3685

37595 7 Mile Rd
Ste 340
Livonia, MI 48152
Phone (734) 542-9999

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

1854 W Auburn Rd
Ste 100A
Rochester Hills, MI 48309
Phone (248) 696-3170

4400 Highland Rd
Waterford, MI 48328
Phone (248) 618-6000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1114663317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR LBBY J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IHA LIVONIA PRIMARY CARE",
            "address_2": "19000 ST. JOE'S PARKWAY SUITE 200",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "734-213-3685",
            "fax_number": "734-213-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHT",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.