Samantha Marie Ballard, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX5255 Issued in MD

Practice address

508 Idlewild Ave Ste 3
Easton, MD 21601-3834

Phone

(410) 697-3832

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1184207805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 JOHN PATRICK DR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662696",
            "telephone_number": "518-260-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 IDLEWILD AVE STE 3",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013834",
            "telephone_number": "410-697-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX5255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAP",
            "affiliation": "N",
            "address_1": "508 Idlewild Ave Ste 3",
            "city": "Easton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216013834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Anne Baima, MD
• Katelyn M Baker, PA-C
• Lynn Bradley Baker, M.D.
• Paula Gail Baker, MSPT
• Christina M Ball, CRNP
• Dabanjan Bandyopadhyay, D.O
• Eric C Barbye, PHARMD
• Andrew Douglas Barnes, DDS
• Katherine Barnes, DDS
• Rosanne Barto, R.PH

• Registered Dietitian in Easton, MD
• Providers in Easton, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.