Individual provider Active NPI

Samantha Christina Sanchez, MS, RD

  • Registered Dietitian
  • Doral, FL
National Provider Identifier
1124876560
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND10050 Issued in FL
Practice address
4342 NW 112TH CT
Doral, FL 33178-4388
Phone
(305) 798-9327
NPI assigned
May 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 ND10050 FL Primary

Addresses

Primary practice location

4342 NW 112TH CT
Doral, FL 33178-4388

Mailing address

4342 NW 112TH CT
Doral, FL 33178-4388
Phone (305) 798-9327

Other practice location 1

23945 Calabasas Rd Ste 110
Calabasas, CA 91302-1503
Phone (818) 497-7484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ND10050FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Theralistic Nutrition Dietitian, Registered CurrentSince May 1, 2024 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

23945 Calabasas Rd
Ste 110
Calabasas, CA 91302
Phone (818) 497-7484

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1124876560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 NW 112TH CT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784388",
            "telephone_number": "305-798-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 NW 112TH CT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784388",
            "telephone_number": "305-798-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23945 Calabasas Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021503",
            "country_code": "US",
            "telephone_number": "818-497-7484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINA",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND10050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.