SAM LUCAS SCARDIGLI (NPI# 1639786742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639786742 |
| Entity Type | Individual |
| Full Name | SAM LUCAS SCARDIGLI |
| Credential | MS, RD |
| Practice Address |
1600 University Dr N Fargo ND 58105-2502 |
| Mailing Address |
512 177th Ave Nw Andover MN 55304-1539 |
| Practice Telephone | 7635688899 |
| Mailing Telephone | 7635688899 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
1600 UNIVERSITY DR N |
| City | FARGO |
| State | ND |
| Zip Code | 58105-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912221854 | Michael Craig Kjellerson | Specialist/Technologist | 1600 University Dr N, Fargo, ND 58105-2502 | 2010-03-22 |
| 1801337829 | Rebekah Rye | Specialist/Technologist | 1600 University Dr N, Fargo, ND 58105-2502 | 2017-03-09 |
| 1033529680 | Scott Woken | Specialist/Technologist | 1600 University Dr N, Fargo, ND 58105-2502 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396203709 | Victoria Ann Davis | Student in an Organized Health Care Education/Training Program | 1340 Administration Avenue, Fargo, ND 58105 | 2019-03-05 |
| 1831589662 | Nicole German | Specialist/Technologist | 1301 Centennial Bouldevard, Bbfh 24, Fargo, ND 58105 | 2015-02-02 |
| 1982867842 | Amy B Werremeyer | Pharmacist | 118h Sudro Hall, North Dakota State University, Fargo, ND 58105 | 2008-07-09 |
| 1033233440 | Bobby Joe Knodel | Specialist/Technologist | N University Dr At 17th Ave N, Bison Sports Arena, Fargo, ND 58105 | 2007-03-19 |
| 1245793330 | Mara Jungels | Specialist/Technologist | 1837 University Dr N, Fargo, ND 58105-2504 | 2019-04-07 |
| 1164698742 | Jeanne Frenzel | Pharmacist | 1401 Albrecht Boulevard, North Dakota State University, Fargo, ND 58105-2722 | 2008-05-05 |
| 1588959472 | Kyle Johnson | Otolaryngology | 801 Broadway N, Bismarck, ND 58105-3641 | 2011-06-18 |
| 1477700748 | Michael P Kelsch | Pharmacist | 118g Sudro Hall, North Dakota State University, Fargo, ND 58105-5055 | 2008-08-19 |
| 1245316157 | Rebecca Lynn Focken | Pharmacist | 1401 Albrecht Blvd, Ndsu, Sudro Hall, 118l, Fargo, ND 58105-5055 | 2006-10-31 |
| 1134384100 | Alicia Lynn Fitz | Pharmacist | 1707 Centennial Blvd, Ndsu Student Health Center Pharmacy, Fargo, ND 58105-5313 | 2008-07-18 |
| Find all providers in zip 58105 | ||||
| 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 |
|---|---|---|---|---|
| 1003446329 | Alexis Ann Allen | Dietitian, Registered | 1749 38th St S, Fargo, ND 58103-4442 | 2020-01-26 |
| 1487171245 | Presticor, Inc. | Dietitian, Registered | 2603 Kirsten Ln S Ste 104, Fargo, ND 58104-5204 | 2017-08-23 |
| 1558882092 | Stephanie E Scott | Dietitian, Registered | 2701 University Dr S, Fargo, ND 58103-6027 | 2017-07-06 |
| 1912234071 | Mary Monica Russell | Dietitian, Registered | 1702 East Rose Creek Parkway South, Fargo, ND 58104-6834 | 2009-11-11 |
| 1629221395 | Joan Pietron Carlisle | Dietitian, Registered | 2121 Elm Street North, Fargo Va Medical Center, Fargo, ND 58102 | 2008-10-28 |
| 1619133832 | Mary F Larson | Dietitian, Registered | 306 4th Street North, Fargo, ND 58102-4820 | 2008-08-07 |
| 1386829844 | Jackie R Griffiths | Dietitian, Registered | 4474 23rd Ave S Ste M, Fargo, ND 58104-8795 | 2008-01-03 |
| 1437103959 | Robin J Sickels | Dietitian, Registered | 737 Broadway, Fargo, ND 58122-0001 | 2006-05-20 |
| 1881295814 | Kelsey Kincaid | Dietitian, Registered | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-11-05 |
| 1710507561 | Brittany Nicole Twiss | Dietitian, Registered | 820 4th St N, Fargo, ND 58102-4539 | 2020-04-22 |
| Find all providers in FARGO | ||||
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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.