Active NPI
Samantha Siegel, MPH, RDN
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1851278055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86344537
- Practice address
- 5820 E W T Harris Blvd Ste 109
#233
Charlotte, NC 28215 - Phone
- (727) 692-3980
- NPI assigned
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 86344537 | Primary |
Addresses
Primary practice location
5820 E W T Harris Blvd Ste 109
#233
Charlotte, NC 28215
Mailing address
5820 E W T Harris Blvd Ste 109
#233
Charlotte, NC 28215
Phone (727) 692-3980
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eatquilibrium LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
5820 E Wt Harris Blvd
Ste 109
Charlotte, NC 28215
Phone (704) 222-5668
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": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1851278055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 E W T HARRIS BLVD STE 109",
"address_2": "#233",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28215",
"telephone_number": "727-692-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 E W T HARRIS BLVD STE 109",
"address_2": "#233",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28215",
"telephone_number": "727-692-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "SAMANTHA",
"credential": "MPH, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86344537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.