Individual provider Active NPI

Samantha Batchelor, RD, LDN

  • Registered Dietitian
  • Haddonfield, NJ
National Provider Identifier
1740775113
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006486 Issued in PA
Practice address
413 W Crystal Lake Ave
Haddonfield, NJ 08033
Phone
(609) 472-1339
NPI assigned
Jun 27, 2018
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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 DN006486 PA Primary

Addresses

Primary practice location

413 W Crystal Lake Ave
Haddonfield, NJ 08033

Mailing address

109 Lomond Rd
Williamstown, NJ 08094-2930
Phone (609) 472-1339

Other practice location 1

150 Monument Rd Ste 207
Bala Cynwyd, PA 19004-1725
Phone (800) 203-8657

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

LicenseStateTypeSpecialty
DN006486PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Success by Lifestyle Dietitian, Registered CurrentSince Aug 18, 2019 Accepting new patients

Locations

413 W Crystal Lake Ave
Haddonfield, NJ 08033
Phone (609) 472-1339

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, 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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1740775113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LOMOND RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080942930",
            "telephone_number": "609-472-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W CRYSTAL LAKE AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "08033",
            "telephone_number": "609-472-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Monument Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041725",
            "country_code": "US",
            "telephone_number": "800-203-8657",
            "fax_number": "800-258-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATCHELOR",
        "first_name": "SAMANTHA",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.