Samantha Bernhardt, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

APP-000715981 Issued in OH

Practice address

2025 Riverside Dr Ste 204
Upper Arlington, OH 43221-4012

Phone

(937) 206-1131

Fax

(937) 917-8048

NPI assigned

Apr 25, 2023

Last updated

May 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthy Hearts Nutrition LLC

  dba Clem&Thyme

  • Health Service Clinic/Center
  • Yellow Springs, OH
  • NPI 1609128784

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1669160982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 E ENON RD",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453879708",
            "telephone_number": "937-206-1131",
            "fax_number": "937-917-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 RIVERSIDE DR STE 204",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432214012",
            "telephone_number": "937-206-1131",
            "fax_number": "937-917-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARDT",
        "first_name": "SAMANTHA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "APP-000715981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Baughman, MD, JD
• Lysle Baumgartner, M.D.
• Gregory Ernest Bellisari, MD
• Max Berk, OD
• Cassandra Bernard
• Bickford of Scioto, LLC
• Mary Elisabeth Bishop, CNP
• Rahul Kumar Biyani, M.D.
• Ryan Edward Blackwell, MD
• Samantha Armstrong Blosser, FNP

• Registered Dietitian in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.