Organization Active NPI

Samantha Bauer Nutrition Therapy, LLC

  • Registered Dietitian
  • Elm Grove, WI
National Provider Identifier
1215834718
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
SAMANTHA BAUER NUTRITION THERAPY, LLC
Practice address
890 Elm Grove Rd Ste 100, Building 2
Elm Grove, WI 53122-2528
Phone
(262) 233-3988
Fax
(844) 469-0902
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Samantha Faye Kuspa, RD, CD, LD, CEDS
Title
Owner/Operator
Phone
(262) 233-3988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

890 Elm Grove Rd Ste 100, Building 2
Elm Grove, WI 53122-2528

Mailing address

890 Elm Grove Rd
Elm Grove, WI 53122-2528
Phone (262) 233-3988

National Provider Directory

National Provider Directory

Locations

890 Elm Grove Rd
Ste 100-2
Elm Grove, WI 53122
Phone (262) 269-4665

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1215834718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 ELM GROVE RD",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222528",
            "telephone_number": "262-233-3988",
            "fax_number": "844-469-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ELM GROVE RD STE 100, BUILDING 2",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222528",
            "telephone_number": "262-233-3988",
            "fax_number": "844-469-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA BAUER NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "KUSPA",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "262-233-3988",
        "authorized_official_credential": "RD, CD, LD, CEDS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.