Samantha Catherine Smith, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86173334 Issued in VA

Practice address

4000 Fairfax Dr Apt 1016
Arlington, VA 22203-1131

Phone

(717) 668-7191

NPI assigned

Oct 18, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Juno WellnessGroup PAC ID 1355706367, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Juno Wellness

  • Nutritionist
  • Herndon, VA
  • NPI 1265155337

  DC, Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1902569973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 FAIRFAX DR APT 1016",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031131",
            "telephone_number": "717-668-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FAIRFAX DR APT 1016",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031131",
            "telephone_number": "717-668-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "CATHERINE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86173334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.healthfusion.com/",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Bethesda Breastfeeding LLC dba Metropolitan Breastfeeding LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4927 Auburn Ave Ste 100",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208142641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Jacquelyn Smith, LPC, LMFT, NCC
• Katherine Bailey Smith
• Lanna J. Smith, NP
• Megan Michel Smith, RD, LDN
• Robert Smith II, PT, DPT
• Sheherazade Smith, LCSW
• Syrena Smith
• Tuesday L Smith
• Valerie Smith, RN
• Lindsay Smithen, M.D.

• Registered Dietitian in Arlington, VA
• Providers in Arlington, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.

Verify at the official NPI Registry.