Individual provider Active NPI

Samantha Roseberry, RD

  • Registered Dietitian
  • Memphis, TN
National Provider Identifier
1932850427
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2956 Issued in TN
Practice address
521 Erin Dr
Memphis, TN 38177-0617
Phone
(901) 491-8646
NPI assigned
Jan 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2956 TN Primary

Addresses

Primary practice location

521 Erin Dr
Memphis, TN 38177-0617

Mailing address

521 Erin Dr
Memphis, TN 38177-0617
Phone (901) 491-8646

Other names 1

  • Samantha Yearwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AL, LA, MD, MA, AZ, NJ, TX, FL, PA, MI12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
I20221024000040 TN Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20221116003135 MS Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20221130000719 AL Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20231108001114 LA Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20231129001960 MD Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20231204001813 MA Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20231212003064 AZ Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20231215002408 NJ Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20231228002372 TX Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20240410002049 FL Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20240712000618 PA Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization
I20241202001185 MI Practitioner - Registered Dietitian Or Nutrition Professional 4284000852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monogram Health Professional Services of Florida LLCGroup PAC ID 0244608149, 41 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32256
Phone (855) 212-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2956TNMDAthletic Trainer
3606LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Texas PLLC CurrentSince Nov 14, 2023 Accepting new patients
Monogram Health Professional Services of Florida LLC CurrentSince Mar 28, 2024 Accepting new patients
Monogram Health Professional Services PC CurrentSince Oct 27, 2023 Accepting new patients
Monogram Health Professional Services PC CurrentSince Nov 15, 2022 Accepting new patients
Monogram Health Professional Services PC CurrentSince Oct 31, 2023 Accepting new patients
Monogram Health Professional Services of New Jersey LLC CurrentSince Dec 7, 2023 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

5410 Maryland Way
Ste 400
Brentwood, TN 37027

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

Interoperability endpoints

  • Direct secure messaging: samantha.yearwood.1@22854.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1932850427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 ERIN DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381770617",
            "telephone_number": "901-491-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 ERIN DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381770617",
            "telephone_number": "901-491-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBERRY",
        "first_name": "SAMANTHA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "2956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "YEARWOOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.