Active NPI
Samantha Cartina Rd
- Registered Dietitian
- McHenry, IL
National Provider Identifier
1366102733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SAMANTHA CARTINA RD
- Practice address
- 115 Cedardel St
McHenry, IL 60051-9710 - Phone
- (904) 345-0586
- Fax
- (904) 372-1977
- NPI assigned
- Dec 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Maria Cartina, RDN, LD/N, CNSC
- Title
- Manager/Owner
- Phone
- (904) 345-0586
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
115 Cedardel St
McHenry, IL 60051-9710
Mailing address
8599 A C Skinner Pkwy Unit 2308
Jacksonville, FL 32256-0858
Phone (815) 341-3220
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- McHenry, IL
- NPI 1730731274
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646697600000",
"number": "1366102733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8599 A C SKINNER PKWY UNIT 2308",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560858",
"telephone_number": "815-341-3220",
"fax_number": "904-372-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CEDARDEL ST",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600519710",
"telephone_number": "904-345-0586",
"fax_number": "904-372-1977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMANTHA CARTINA RD",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-27",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A",
"authorized_official_last_name": "CARTINA",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "MANAGER/OWNER",
"authorized_official_telephone_number": "904-345-0586",
"authorized_official_credential": "RDN, LD/N, CNSC"
},
"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 McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.