Active NPI
Samia Sibley, RD, LD
- Registered Dietitian
- Los Alamos, NM
National Provider Identifier
1922304633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-0712
- Practice address
- 2025 E Jemez Rd
#120
Los Alamos, NM 87544-1985 - Phone
- (505) 890-6791
- NPI assigned
- Jan 28, 2011
- 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 | LD-0712 | NM | Primary |
Addresses
Primary practice location
2025 E Jemez Rd
#120
Los Alamos, NM 87544-1985
Mailing address
2025 E Jemez Rd
#120
Los Alamos, NM 87544-1985
Phone (505) 890-6791
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-0712 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1922304633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 E JEMEZ RD",
"address_2": "#120",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875441985",
"telephone_number": "505-890-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 E JEMEZ RD",
"address_2": "#120",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875441985",
"telephone_number": "505-890-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBLEY",
"first_name": "SAMIA",
"name_prefix": "Mrs.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-28",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-0712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.