Samantha Powell Davis, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

806810

Practice address

2800 W Bowie St
Fort Worth, TX 76109-1706

Phone

(817) 793-9193

NPI assigned

Nov 4, 2013

Last updated

Dec 16, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Dru Riddle Anesthesia, PLLC

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
  • NPI 1346751682
  NPD (past)
• Meals on Wheels, Inc. of Tarrant County

  • Home Delivered Meals
  • Fort Worth, TX
  • NPI 1942335591
  NPD (past)

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1235568924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W BOWIE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091706",
            "telephone_number": "817-793-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W BOWIE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091706",
            "telephone_number": "817-793-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL DAVIS",
        "first_name": "SAMANTHA",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85993",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "806810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Potts
• Vivek Poudel, PMHNP
• Jennifer Gail Pounds, APRN, PMHNP-BC
• Darius Peter Pourzan, M.D.
• Mary K Powderly, MD
• Allie Jill Powell
• Allison Virginia Powell
• Amber Lushun Powell
• Ashley L Powell, RN
• Brooke Nicole Powell, LPC

• Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.