Individual provider Active NPI

Allison M Samford, RD

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1407515968
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86042463
Practice address
2702 Rae Dell Ave
Austin, TX 78704-4739
Phone
(512) 902-6428
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86042463 Primary

Addresses

Primary practice location

2702 Rae Dell Ave
Austin, TX 78704-4739

Mailing address

2702 Rae Dell Ave
Austin, TX 78704-4739
Phone (512) 902-6428

Other identifiers 2

IdentifierTypeStateIssuer
86042463OtherCOMMISSION ON DIETETIC REGISTRATION
DT83378OtherTXTEXAS DEPARTMENT OF LICENSING AND REGULATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1407515968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 RAE DELL AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044739",
            "telephone_number": "512-902-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 RAE DELL AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044739",
            "telephone_number": "512-902-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMFORD",
        "first_name": "ALLISON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86042463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86042463",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF  LICENSING AND REGULATION",
            "identifier": "DT83378",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.