Samantha Berryman Ange, MPH, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L002661 Issued in NC

Practice address

118 Hamby Road
Surry County Health and Nutrition
Dobson, NC 27017-8471

Phone

(336) 401-8400

NPI assigned

Jul 20, 2007

Last updated

Dec 11, 2008By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1861692592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E MANOR RIDGE RD",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286213131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HAMBY ROAD",
            "address_2": "SURRY COUNTY HEALTH AND NUTRITION",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178471",
            "telephone_number": "336-401-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGE",
        "first_name": "SAMANTHA",
        "middle_name": "BERRYMAN",
        "name_prefix": "Mrs.",
        "credential": "MPH, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren T Absher, NP
• Savannah Harold Adams, FNP-C
• Stacie Adams, MA, EDS, LPC
• Tara C Ardito, PA
• Alicia Michelle Atkins, CDAD-A
• Kristy Lee Ayers
• Ilene Lillian Bayer, LCSW
• Hannah Beasley Bodenhamer, PA-C

• Registered Dietitian in Dobson, NC
• Providers in Dobson, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.