Individual provider Active NPI

Samantha Rosemary Schleiger, MS, RD, CD

  • Registered Dietitian
  • Elkhorn, WI
National Provider Identifier
1710359351
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86026697 Issued in WI
Practice address
W3022 Weaver Rd
Elkhorn, WI 53121-4424
Phone
(262) 374-1145
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86026697 WI Primary

Addresses

Primary practice location

W3022 Weaver Rd
Elkhorn, WI 53121-4424

Mailing address

W3022 Weaver Rd
Elkhorn, WI 53121-4424
Phone (262) 374-1145

Other names 1

  • Samantha Rosemary Krueger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 13, 2019 through Mar 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86026697WIMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1710359351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3022 WEAVER RD",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214424",
            "telephone_number": "262-374-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3022 WEAVER RD",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214424",
            "telephone_number": "262-374-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEIGER",
        "first_name": "SAMANTHA",
        "middle_name": "ROSEMARY",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "86026697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "KRUEGER",
            "middle_name": "ROSEMARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.