Individual provider Active NPI

Samantha Dworacek, RDN

  • Registered Dietitian
  • Warwick, RI
National Provider Identifier
1124925953
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN01763 Issued in RI
Practice address
1775 Bald Hill Rd
Warwick, RI 02886-4231
Phone
(401) 396-9331
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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 LDN01763 RI Primary

Addresses

Primary practice location

1775 Bald Hill Rd
Warwick, RI 02886-4231

Mailing address

1775 Bald Hill Rd
Warwick, RI 02886-4231
Phone (401) 396-9331

Other practice location 1

850 Aquidneck Ave Ste A-5
Middletown, RI 02842-7280
Phone (401) 396-9331

Other practice location 2

450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300
Phone (401) 396-9331

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1124925953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864231",
            "telephone_number": "401-396-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864231",
            "telephone_number": "401-396-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Aquidneck Ave Ste A-5",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028427280",
            "country_code": "US",
            "telephone_number": "401-396-9331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Veterans Memorial Pkwy Ste 8C",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029145300",
            "country_code": "US",
            "telephone_number": "401-396-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWORACEK",
        "first_name": "SAMANTHA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN01763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.