Samantha Marie Nielsen, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3718 Red Canon PL
Colorado Springs, CO 80904-2323

Phone

(612) 723-0735

Fax

(719) 917-9303

NPI assigned

Jul 25, 2019

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

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.

• Ridgeline Dietetics

  • Registered Dietitian
  • Colorado Springs, CO
  • NPI 1003654385

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1245884642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 RED CANON PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042323",
            "telephone_number": "612-723-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3718 RED CANON PL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042323",
            "telephone_number": "612-723-0735",
            "fax_number": "719-917-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent J Nielsen, DMD
• Briklin Nielsen, DDS, MS
• Charles Levi Nielsen, DO
• Darian Nielsen
• Jonathan Nielsen
• Talmage Nielsen, DO
• Bryce Jay Nielson
• Stephanie Niemann
• Hayden Renee Niemeyer, OT
• Alexandra S Niemyer

• Registered Dietitian in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.