Katherine Antoinette Samela, MS, RD, CSP

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

791 Issued in CT

Practice address

500 Boston Post Rd
Orange, CT 06477-3530

Phone

(203) 671-3392

Fax

(888) 855-7803

NPI assigned

Sep 22, 2023

Last updated

Dec 18, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1275312951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773530",
            "telephone_number": "203-671-3392",
            "fax_number": "888-855-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773530",
            "telephone_number": "203-671-3392",
            "fax_number": "888-855-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St # 2K",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "608-545-9602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMELA",
        "first_name": "KATHERINE",
        "middle_name": "ANTOINETTE",
        "credential": "MS, RD, CSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Ryu, M.D.
• Helen Sackler, PH.D.
• Patonee Sadat
• Sherif A Saleh, MD
• Pei Juan Salerno, M.D.
• Nicole Sanchez, LMT
• Florence Sarigianis, LMFT
• Rama Sawhney
• Molly Deborah Sawyer, OT
• Laura Ann Scanlon, OD

• Registered Dietitian in Orange, CT
• Providers in Orange, CT by specialty
• Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.