Organization Active NPI

Samantha Cartina Rd

  • Registered Dietitian
  • McHenry, IL
National Provider Identifier
1366102733
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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

Updated by the provider on Mar 8, 2022

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, CNSCNPI 1730731274
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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.