Active NPI
Samantha Mossman, RD, LDN
- Registered Dietitian
- Providence, RI
National Provider Identifier
1871947093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN00872
- Practice address
- 50 Maude St
Roger Willaims Oncology Center
Providence, RI 02908-4325 - Phone
- (401) 456-6513
- NPI assigned
- Apr 14, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3861 | MA | |
| Registered Dietitian | 133V00000X | LDN00872 | RI | Primary |
Addresses
Primary practice location
50 Maude St
Roger Willaims Oncology Center
Providence, RI 02908-4325
Mailing address
50 Maude St
Roger Williams Cancer Center
Providence, RI 02908-4325
Phone (401) 456-6513
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3861 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1871947093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MAUDE ST",
"address_2": "ROGER WILLIAMS CANCER CENTER",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084325",
"telephone_number": "401-456-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MAUDE ST",
"address_2": "ROGER WILLAIMS ONCOLOGY CENTER",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029084325",
"telephone_number": "401-456-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSSMAN",
"first_name": "SAMANTHA",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-14",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "3861",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN00872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.