Active NPI
Samantha N Marasek, R.D.
- Registered Dietitian
- Pikeville, KY
National Provider Identifier
1467858993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- BDNDTN00221252
- Practice address
- 1098 S Mayo TRL
Suite 101
Pikeville, KY 41501-1546 - Phone
- (606) 218-1000
- Fax
- (606) 433-1867
- NPI assigned
- Nov 11, 2014
- Last updated
- Jul 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT83315 | TX | |
| Registered Dietitian | 133V00000X | BDNDTN00221252 | KY | Primary |
Addresses
Primary practice location
1098 S Mayo TRL
Suite 101
Pikeville, KY 41501-1546
Mailing address
PO Box 2917
Pikeville, KY 41502-2917
Phone (606) 218-1000
Other names 1
- Samantha N Patty
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BDNDTN00221252 | KY | MD | Registered Dietitian |
| DT83315 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1467858993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2917",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415022917",
"telephone_number": "606-218-1000",
"fax_number": "606-433-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 S MAYO TRL",
"address_2": "SUITE 101",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011546",
"telephone_number": "606-218-1000",
"fax_number": "606-433-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARASEK",
"first_name": "SAMANTHA",
"middle_name": "N",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-11",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83315",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "BDNDTN00221252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "PATTY",
"middle_name": "N",
"credential": "R.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.