SAMANTHA KEPLER VAN DYKE (NPI# 1275024259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275024259 |
| Entity Type | Individual |
| Full Name | SAMANTHA KEPLER VAN DYKE |
| Credential | MPH, RD |
| Practice Address |
152 Burnet St Charlottesville VA 22902-5501 |
| Practice Telephone | 7038516414 |
| Mailing Telephone | 7038516414 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86020035 | VA | Dietary & Nutritional Service Providers |
| Street Address |
152 BURNET ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736364 | Shirin Pourafshar | Dietitian, Registered | 966 Belvedere Blvd, Charlottesville, VA 22901-3202 | 2020-10-01 |
| 1346874641 | Amy Jean Berry | Dietitian, Registered | Uva Emily Couric Cancer Center 1240 Lee St, Charlottesville, VA 22908-0001 | 2020-02-25 |
| 1093358558 | Shawna Dacus | Dietitian, Registered | 1300 Jpa, Charlottesville, VA 22908-0001 | 2019-10-28 |
| 1649828278 | Shannon Mcshea | Dietitian, Registered | 912 Bing Ln, Charlottesville, VA 22903-4048 | 2019-08-27 |
| 1770130544 | Rebecca Heming | Dietitian, Registered | 128 Georgianna Aly, Charlottesville, VA 22901-3211 | 2019-08-26 |
| 1780236703 | Hannah K Noland | Dietitian, Registered | 709 W Main St # A, Charlottesville, VA 22903-4570 | 2019-07-10 |
| 1043717820 | Viola Fields Holmes | Dietitian, Registered | 4464 Sunset Dr, Charlottesville, VA 22911-2402 | 2018-04-09 |
| 1710483177 | Katherine Osterlund | Dietitian, Registered | 613 North Ave, Charlottesville, VA 22901-4017 | 2018-04-04 |
| 1508362997 | Tamara Gordon | Dietitian, Registered | 94 Biltmore Dr, Charlottesville, VA 22901-2402 | 2018-04-04 |
| 1811493125 | Elizabeth Kellis Newton | Dietitian, Registered | 2955 Ivy Rd Ste 1500, Charlottesville, VA 22903-9353 | 2018-04-04 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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| 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.