Active NPI
Samantha Gerbine
- Registered Dietitian
- Fort Sam Houston, TX
National Provider Identifier
1447658091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT83546
- Practice address
- 3851 Roger Brooke Dr
McHe-QD (Creds)
Fort Sam Houston, TX 78234-4501 - Phone
- (210) 808-2419
- NPI assigned
- Dec 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT83546 | TX | Primary |
Addresses
Primary practice location
3851 Roger Brooke Dr
McHe-QD (Creds)
Fort Sam Houston, TX 78234-4501
Mailing address
3851 Roger Brooke Dr
McHe-QD (Creds)
Fort Sam Houston, TX 78234-4501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT83546 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1447658091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "MCHE-QD (CREDS)",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3851 ROGER BROOKE DR",
"address_2": "MCHE-QD (CREDS)",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344501",
"telephone_number": "210-808-2419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBINE",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-15",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.