SAMANTHA A RIDER


Address: 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362
Phone: 3373103670

SAMANTHA A RIDER (NPI# 1053374595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053374595
Entity Type Individual
Full Name SAMANTHA A RIDER
Other Name SAMANTHA A TUPPER
Credential RD
Practice Address 1727 Imperial Blvd
Bldg 2
Lake Charles
LA 70605-5362
Mailing Address 501 Dr Michael Debakey Dr
Lake Charles
LA 70601-5724
Practice Telephone 3373103670
Mailing Telephone 3373128258
Mailing Fax Number 3373126708
Enumeration Date 2006-04-07
Last Update Date 2017-04-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1378 LA Dietary & Nutritional Service Providers

Office Location

Street Address 1727 IMPERIAL BLVD
BLDG 2
City LAKE CHARLES
State LA
Zip Code 70605-5362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720480924 Imperial Health LLP Internal Medicine 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 2014-09-18
1598176653 Olivia Paige Blalock Dietitian, Registered 1727 Imperial Blvd, Building 2, Lake Charles, LA 70605-5362 2014-05-12
1174956510 Clay Lawrence Hill Nurse Practitioner 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 2013-08-20
1528356367 Jared R Whitehead Nurse Practitioner 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 2011-07-14
1609028968 Hart Eye Center, LLC Clinic/Center 1727 Imperial Blvd, Bldg. 1, Ste. B, Lake Charles, LA 70605-5362 2008-10-17
1124124870 Sandra Ellen Dempsey Internal Medicine 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 2006-09-16
1467568600 Timothy Rayford Gilbert Internal Medicine 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 2006-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780283606 Kristin R Morris Clinical Nurse Specialist 1900 W. Gaythier Rd, Lake Charles, LA 70605 2020-10-21
1548871577 Jacob M Theriot Nurse Practitioner 2640 County Club Rd., Lake Charles, LA 70605 2020-08-13
1053898403 Heather Spallino Duplechain Nurse Practitioner 6713 Nelson Rd., Lake Charles, LA 70605 2018-07-27
1578057956 Noor Deeb Weckerly Nurse Practitioner 6713 Nelson Rd, Lake Charles, LA 70605 2018-06-19
1861993354 Therapy Works of Swla LLC Physical Therapist 4750 Lake Street, Lake Charles, LA 70605 2018-02-21
1669998852 Amd Healthcare Lc, LLC General Acute Care Hospital 3730 Nelson Road, Lake Charles, LA 70605 2017-08-18
1619422474 Kaitlyn Pinkerton Specialist/Technologist 800 E Mcneese St, Lake Charles, LA 70605 2016-08-22
1104274679 Kelly Rogers Counselor 90 N. Luke 102l, Lafayette, LA 70605 2016-05-25
1548616220 Lisa Monticello Snider Neurological Surgery 3297 Portrush Drive, Lake Charles, LA 70605 2016-05-11
1114387404 Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De Dentist 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 2016-02-29
Find all providers in zip 70605

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770081721 Vanessa Hardy Dietitian, Registered 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605-5362 2018-01-24
1659725802 Shatonia Mccarty Dietitian, Registered 6675 Highway 90 E Trlr 218, Lake Charles, LA 70615-4769 2016-04-13
1215300835 Kyle Blanton Dietitian, Registered 707a E. Prien Lake Rd., Lake Charles, LA 70601 2015-11-04
1548646599 Eljeana Quebedeaux Dietitian, Registered 902 S Kade, Lake Charles, LA 70605-7189 2015-07-31
1942508981 Jacqueline Brown Richard Dietitian, Registered 524 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5725 2011-02-28
1952363459 Stephanie J Stanfield Dietitian, Registered 721 Bayou Pines East Dr, Lake Charles, LA 70601-7183 2006-04-03
1154982460 Nicholas Nutrition & Optimal Wellness Now Dietitian, Registered 4007 W Walton St, Lake Charles, LA 70607-3656 2019-06-26
1043787302 Courtney E Foch Labove Dietitian, Registered 1727 Imperial Blvd Bldg B, Lake Charles, LA 70605-5392 2018-10-25
1043621089 Hailey Crawford Dietitian, Registered 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2014-05-13
1598176653 Olivia Paige Blalock Dietitian, Registered 1727 Imperial Blvd, Building 2, Lake Charles, LA 70605-5362 2014-05-12
Find all providers in LAKE CHARLES

Competitor

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City LAKE CHARLES
Zip Code 70605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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