Samantha L Russo, RD
Dietitian, Registered in Lunenburg, Massachusetts
1740894369- Practice location
- 1459 Massachusetts Ave, Lunenburg, MA 01462-1845
- Phone
- 860-888-2379
- Fax
- —
- Last updated
- September 1, 2020
Samantha Leigh Russo is a Dietitian, Registered based in Lunenburg, MA. Samantha Leigh Russo practices in Lunenburg, MA and has the professional credentials of RD. The NPI Number for Samantha Leigh Russo is 1740894369 and holds a License No. 86082667 (MA). The current practice location address for Samantha Leigh Russo is 1459 Massachusetts Ave, Lunenburg, MA 01462-1845 and can be reached out via phone at 860-888-2379.
Provider Profile Details
- NPI Number
- 1740894369
- Provider Name
- Samantha Leigh Russo
- Credential
- RD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1459 Massachusetts Ave, Lunenburg, MA 01462-1845
- Phone Number
- 860-888-2379
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 1, 2020
- Last Update Date
- September 1, 2020
- Certification Date
- September 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1459 Massachusetts Ave
Lunenburg, MA 01462-1845 - City
- Lunenburg
- State
- Massachusetts
- Zip
- 01462-1845
- Phone Number
- 860-888-2379
Provider Business Mailing Address Details
- Address
- 1459 Massachusetts Ave
Lunenburg, MA 01462-1845 - City
- Lunenburg
- State
- MA
- Zip
- 01462-1845
- Phone Number
- 860-888-2379
License Information
- License Number
- 86082667
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samantha L Russo, RD?
The NPI number of Samantha L Russo, RD is 1740894369. It was assigned on September 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Samantha L Russo, RD?
Samantha L Russo, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 86082667.
Where does Samantha L Russo, RD practice?
The practice location is 1459 Massachusetts Ave, Lunenburg, MA 01462-1845. The office can be reached at 860-888-2379 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740894369 directly on the NPPES registry website.