SAMANTHA A METKO (NPI# 1750948394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750948394 |
| Entity Type | Individual |
| Full Name | SAMANTHA A METKO |
| Credential | RDN, IBCLC |
| Practice Address |
N3075 Bean City Rd New London WI 54961-8912 |
| Practice Telephone | 9205400094 |
| Mailing Telephone | 9205400094 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 661-29 | WI | Dietary & Nutritional Service Providers |
| N | 174N00000X | Lactation Consultant, Non-RN | L-22761 | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IBCLC | L-22761 | 01 | |
| WI | STATE OF WISCONSIN: DEPARTMENT OF SAFETY PROFESSIONAL SERVICES | 661-29 | 01 |
| Street Address |
N3075 BEAN CITY RD |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961-8912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406408 | Cheryl Schneider | Technician | L 56 Northgate Estates, New London, WI 54961 | 2019-09-12 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1659585172 | Amanda L. Beck | Physical Therapy Assistant | 400 E. 4th Street, Manawa, WI 54961 | 2007-05-10 |
| 1366599433 | Griebenow Eyecare, S.c. | Optometrist | 105 Northridge Drive, New London, WI 54961 | 2007-01-04 |
| 1740822055 | Lauren Mae Flunker | Social Worker | E7475 Rawhide Rd, New London, WI 54961 | 2019-10-09 |
| 1063641249 | Forefront Dermatology, S.c. | Dermatology | 1620 N Shawano St, Suite C, New London, WI 54961 | 2009-07-08 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1821263849 | Mark Alan Tegtmeier | Counselor | E7475 Rawhide Rd, New London, WI 54961 | 2008-04-30 |
| 1194910489 | Laurie Mollenhauer | Physical Therapist | 1405 Mill St, New London, WI 54961 | 2007-09-10 |
| Find all providers in zip 54961 | ||||
| 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 |
|---|---|---|---|---|
| 1851842678 | Elke Melody | Dietitian, Registered | 273 County Rd, New London, NH 03257-5736 | 2016-10-17 |
| 1801342936 | Birgit Humpert | Dietitian, Registered | 273 County Rd, New London, NH 03257-5736 | 2016-08-29 |
| 1538514443 | The Nutrition Counseling Center | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2016-04-28 |
| 1649565334 | Krista Hollinshead Fogarty | Dietitian, Registered | 365 Montauk Ave, Lawrence and Memorial Hospital Food and Nutrition Dept, New London, CT 06320-4700 | 2011-06-10 |
| 1922332832 | Hope Elizabeth Damon R.d.,c.d.e., L.d. | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2009-09-24 |
| 1588891121 | Deborah M. Peterson | Dietitian, Registered | 365 Montauk Ave, New London, CT 06320-4700 | 2009-06-22 |
| 1669609616 | Nathan E. Nava | Dietitian, Registered | 365 Montauk Ave, New London, CT 06320-4700 | 2009-06-17 |
| 1407081128 | Barbara T. Corvello | Dietitian, Registered | 365 Montauk Ave, New London, CT 06320-4700 | 2009-05-26 |
| 1629265137 | Hoo- Ching (judy) Wong | Dietitian, Registered | 365 Montauk Ave, New London, CT 06320-4700 | 2007-09-28 |
| 1134246358 | Hope Elizabeth Damon | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2007-03-23 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
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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.