Samantha M Mackinnon, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1076848 Issued in TX

Practice address

1369 Arlington St
Houston, TX 77008-4568

Phone

(470) 533-6100

NPI assigned

Nov 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha M Hunter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1558839100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 ARLINGTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 ARLINGTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084568",
            "telephone_number": "470-533-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "1076848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "HUNTER",
            "middle_name": "M",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Mackenzie, LPC
• David Craig Mackey, MD
• Joy Mackey, M.D.
• Thomas A Mackey, PHD, NP-C
• Bonnie Jean Mackin, CRNA
• Rosa Macklin-Hinkle, PSY D
• Amy Macklin, PTA
• Trinity Macklin
• Samuel Peter Mackoff, MD
• Darego O Maclayton, PHARM.D.

• Registered Dietitian in Houston, TX
• Providers in Houston, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.