Danielle Sara Samelson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86152572

Practice address

229 N Poplar St Apt 10
Charlotte, NC 28202-1656

Phone

(407) 252-5258

NPI assigned

Oct 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• 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": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1194323345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N POPLAR ST APT 10",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021656",
            "telephone_number": "407-252-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N POPLAR ST APT 10",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021656",
            "telephone_number": "407-252-5258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4225 Cloverleaf Pl",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327074703",
            "country_code": "US",
            "telephone_number": "407-252-5258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMELSON",
        "first_name": "DANIELLE",
        "middle_name": "SARA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86152572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Samarel, MD
• Samaritan Adult Day Health Home
• Swapna Samatam, MD
• Samcync Medical Supply, Inc.
• Sameday Surgery Center
• Himaja Reddy Samireddy, MED
• Stephen Edward Sammons, LPC
• Katherine M Samonsky
• Harine Sampaio
• Nicole Sampedro Mendoza, PSY.D

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.