Active NPI
Samantha Demello, RD,LD
- Registered Dietitian
- Bedford, NH
National Provider Identifier
1831574755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0771
- Practice address
- 80 Palomino LN
Suite 101
Bedford, NH 03110-6447 - Phone
- (603) 518-5859
- NPI assigned
- Jul 21, 2015
- Last updated
- Jul 21, 2015
- 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 | 0771 | NH | Primary |
Addresses
Primary practice location
80 Palomino LN
Suite 101
Bedford, NH 03110-6447
Mailing address
35 Old Sawmill Rd
Bedford, NH 03110-6225
Phone (603) 682-5855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 Ten Rod Rd
North Kingstown, RI 02852-4238
Phone (888) 964-1975
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0771 | NH | MD | Speech-Language Pathologist |
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": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1831574755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 OLD SAWMILL RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106225",
"telephone_number": "603-682-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 PALOMINO LN",
"address_2": "SUITE 101",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106447",
"telephone_number": "603-518-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELLO",
"first_name": "SAMANTHA",
"credential": "RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "0771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.