Samantha Berryman Ange, MPH, RD, LDN
Individual provider Active NPI Registered Dietitian · Dobson, NC
NPI 1861692592 · NPPES record last updated Dec 11, 2008
Key facts
- NPI
- 1861692592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- L002661 (NC)
- Practice address
- 118 Hamby Road
Surry County Health and Nutrition
Dobson, NC 27017-8471 - Phone
- (336) 401-8400
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002661 | NC | Yes |
Addresses
Primary practice location
118 Hamby Road
Surry County Health and Nutrition
Dobson, NC 27017-8471
Mailing address
130 E Manor Ridge Rd
Elkin, NC 28621-3131
Other providers in Dobson, NC
- Darren T Absher
- Savannah Harold Adams
- Stacie Adams
- Tara C Ardito
- Alicia Michelle Atkins
- Kristy Lee Ayers
- Ilene Lillian Bayer
- Hannah Grace Beasley
All providers in Dobson, NC · Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.