Active NPI
Samantha Roseberry, RD
- Registered Dietitian
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2956
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AL, LA, MD, MA, AZ, NJ, TX, FL, PA, MI
Enrollment records 12
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
Practice addresses (Care Compare)
Jacksonville, FL 32256
Phone (855) 212-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2956 | TN | MD | Athletic Trainer |
| 3606 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services of Texas PLLC | Current | Accepting new patients | |
| Monogram Health Professional Services of Florida LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Current | Accepting new patients | |
| Monogram Health Professional Services of New Jersey LLC | Current | 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
- 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.
-
- Nephrology Physician
- Jacksonville, FL
- NPI 1538883111
-
- Nephrology Physician
- Brentwood, TN
- NPI 1396481255
TX
-
- Nephrology Physician
- Paramus, NJ
- NPI 1578284246
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
MA, MD, MI, PA
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.