Active NPI
Julianne Marie Sams, RDN
- Registered Dietitian
- Knoxville, TN
National Provider Identifier
1700653748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4208
- Practice address
- 10420 Jackson Oaks Way Ste 201
Knoxville, TN 37922-0708 - Phone
- (865) 322-3663
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 4208 | TN | Primary |
Addresses
Primary practice location
10420 Jackson Oaks Way Ste 201
Knoxville, TN 37922-0708
Mailing address
121 E Elderberry St
Oak Ridge, TN 37830-2529
Phone (937) 608-3140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86084387 | Other | TN | COMMISSION ON DIETETIC REGISTRATION |
| 4208 | Other | TN | TN RDN LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 1
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": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1700653748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E ELDERBERRY ST",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378302529",
"telephone_number": "937-608-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10420 JACKSON OAKS WAY STE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379220708",
"telephone_number": "865-322-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMS",
"first_name": "JULIANNE",
"middle_name": "MARIE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "4208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86084387",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN RDN LICENSURE",
"identifier": "4208",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.