Active NPI
Samantha Corbin, RD LD
- Registered Dietitian
- Madison, AL
National Provider Identifier
1184516767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5821
- Practice address
- 343 S Back Creek Rd NW
Madison, AL 35757-6329 - Phone
- (334) 399-6652
- NPI assigned
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5821 | AL | Primary |
Addresses
Primary practice location
343 S Back Creek Rd NW
Madison, AL 35757-6329
Mailing address
343 S Back Creek Rd NW
Madison, AL 35757-6329
Phone (334) 399-6652
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5821 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1184516767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 S BACK CREEK RD NW",
"city": "MADISON",
"state": "AL",
"postal_code": "357576329",
"telephone_number": "334-399-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 S BACK CREEK RD NW",
"city": "MADISON",
"state": "AL",
"postal_code": "357576329",
"telephone_number": "334-399-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "SAMANTHA",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "5821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
- Jared L Connor, AGACNP-BC
- Cynthia Cooper
- Selea Cooper, DPT
- Alanna Brean Copeland
- Mark Isaac Copeland, A.A.
- Orval Eugene Corfman, D.C.
- Cornerstone Medical Inc (Cornerstone Pharmacy)
- Cornerstone Medical Inc (Cornerstone Medical)
- Cornerstone Pediatrics, P.C
- Costco Wholesale Corporation (Costco Hearing Aid #1712)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.