Taylor Sambucci, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86154329 Issued in IL

Practice address

1100 N Fayette St Apt 1521
Alexandria, VA 22314-2183

Phone

(630) 740-9790

NPI assigned

Jul 20, 2023

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1164102646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 NOTRE DAME DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604398531",
            "telephone_number": "630-740-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N FAYETTE ST APT 1521",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142183",
            "telephone_number": "630-740-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBUCCI",
        "first_name": "TAYLOR",
        "credential": "MS, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2897",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "86154329",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "11312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvation Academy (Salvation Academy Medical Staffing)
• Salvation Academy Health Care & Security Services LLC (Salvation Academy Home Health Agency)
• Tamba Sam-Manimoi
• Sam's Neurology, LLC
• Zahida Z Samat, NP
• Sameday Cardiovascular Care LLC
• Bahareh Sameti
• Chelsea Samo-Lipman, PA-C
• Kanchan Samtani, PHARM.D.
• Samtha Brotherton, DDS., PC

• Registered Dietitian in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.