Samantha Jerome, RDN, CDCES, LRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2607 E Silverwood Dr
Phoenix, AZ 85048-9288

Phone

(480) 264-0119

NPI assigned

Mar 5, 2019

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)

Enrolled

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1285192609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 E CHANDLER BLVD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480303",
            "telephone_number": "480-264-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 E SILVERWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489288",
            "telephone_number": "480-264-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "SAMANTHA",
        "credential": "RDN, CDCES, LRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Eilish Jepson, RD
• Leonila Purisima Jequinto, FNP
• Catherine Ellyn Jereb, DO
• Carol Jernigan, PSYD
• Hugh Warren Jernigan, D.M.D.
• Tatiana Jerome, MD
• Jesa Homes LLC
• Jesa Homes LLC
• Patricia Jesse I
• Talitha Marie Jesse

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.