Samantha Elise Previte, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND7815 Issued in FL

Practice address

174 Pinewoods St
Ponte Vedra, FL 32081-0118

Phone

(724) 816-5571

NPI assigned

Jul 1, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dietitians of Palm Valley

  • Health Service Clinic/Center
  • Ponte Vedra, FL
  • NPI 1215572854
  NPD Authorized official
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1780201186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 PINEWOODS ST FL 32081",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810118",
            "telephone_number": "724-816-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 PINEWOODS ST",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810118",
            "telephone_number": "724-816-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVITE",
        "first_name": "SAMANTHA",
        "middle_name": "ELISE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponte Vedra Speech Language and Learning LLC
• Ponte Vedra Speech Therapy LLC
• Cody Randall Pontius, MED, ATC, LAT
• Prevail Therapy Services, LLC
• Prevail Therapy Services, LLC
• Chandre Tranece Pryor
• Alexei Mikhailovich Prytkov, M.D, PHD
• PT Solutions of Pensacola, LLC
• Publix Super Markets Inc
• Luana Purdy

• Registered Dietitian in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.