SAMANTHA SULLIVAN (NPI# 1821397969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821397969 |
| Entity Type | Individual |
| Full Name | SAMANTHA SULLIVAN |
| Credential | MS, RD, LD |
| Practice Address |
2200 1st St Apt 312 Alamogordo NM 88310-3405 |
| Practice Telephone | 5755511762 |
| Mailing Telephone | 5755511762 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | LD-0775 | NM | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 1002021 | NM | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625076 | Samantha Sullivan | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-09-24 |
| 1982212023 | Samantha Joy Sullivan | Counselor | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2020-07-15 |
| 1477187359 | Samantha Sullivan | Behavioral Analyst | 9374 Olive Blvd, Olivette, MO 63132-3267 | 2020-02-28 |
| 1649779323 | Samantha Dehaan Sullivan | Behavior Technician | 5220 6th Street Frontage Rd E Ste 1700, Springfield, IL 62703-5771 | 2018-02-07 |
| 1891091906 | Samantha Sullivan | Counselor | 501 S 4th St, Santa Rosa, NM 88435-2417 | 2011-02-07 |
| Street Address |
2200 1ST ST APT 312 |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| 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 |
|---|---|---|---|---|
| 1376152108 | Stephanie Faith Swarthout | Dietitian, Registered | 1401 10th St Ste E, Alamogordo, NM 88310-5012 | 2020-07-28 |
| 1164792214 | Heather Jill Harris | Dietitian, Registered | 2510 Eastmont Ct, Alamogordo, NM 88310-4432 | 2012-01-06 |
| 1407159361 | Shannan E Bergtholdt | Dietitian, Registered | 2062 Calle De Vistas, Alamogordo, NM 88310-7867 | 2010-12-15 |
| 1316971328 | Danielle Denae Knutt | Dietitian, Registered | 1402 Indian Wells Road, Alamogordo, NM 88310 | 2006-07-10 |
| 1780226795 | Callie Althea Shaw | Dietitian, Registered | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2019-10-10 |
| 1922662444 | Rebecca Richards | Dietitian, Registered | 2669 Scenic Dr, Alamogordo, NM 88310-8734 | 2019-04-30 |
| 1487165411 | Joseph Cecava | Dietitian, Registered | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2017-10-17 |
| 1225495534 | Melody Vosburg | Dietitian, Registered | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117661 | Jose Luis Guzman Jr. | Dietitian, Registered | 947 Cerrito Dr Apt A, Gallup, NM 87301-5421 | 2020-09-01 |
| 1184237075 | Kelly Ann Gardiner | Dietitian, Registered | 9123 Retablo Rd Nw, Albuquerque, NM 87120-7138 | 2020-08-28 |
| 1356954929 | Hannah Contrucci | Dietitian, Registered | 2920 Carlisle Blvd Ne Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
| 1083227656 | Advanced Nutrition Services, LLC | Dietitian, Registered | 2920 Carlisle Blvd Ne, Ste A1, Albuquerque, NM 87110-2867 | 2020-08-25 |
| 1366051997 | Uma Borkar | Dietitian, Registered | 4425 Ojo Caliente Cir, Las Cruces, NM 88011-4303 | 2020-07-29 |
| 1912525445 | Sunrise Nutrition Services, LLC | Dietitian, Registered | 601 C Avenue, Zuni, NM 87327-8732 | 2020-07-10 |
| 1417575267 | Valerie Silver | Dietitian, Registered | 6225 Hannett Ave Ne, Albuquerque, NM 87110-5918 | 2020-07-08 |
| 1295350346 | Amanda Montano | Dietitian, Registered | 9928 Cielito Norte Way Ne, Albuquerque, NM 87122-3222 | 2020-06-15 |
| 1457974420 | Juliet Corley | Dietitian, Registered | 926 Madeira Dr Se, Albuquerque, NM 87108-3618 | 2020-05-25 |
| 1205459740 | Haley Snell-sparapany | Dietitian, Registered | 1520 Tramway Blvd Ne, Albuquerque, NM 87112-4655 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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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.