Samuel Robert Alexander, DC, LN
NPI 1134635485ActiveIndividual· Nutritionist· Roseville, MN
Nutritionist (DC, LN) in Roseville, Minnesota, licensed in MN, with an NPI issued in December 2017. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1134635485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC, LN |
| Sole proprietor | Yes |
| NPI issued | Dec 22, 2017 |
| Last updated in NPPES | Oct 15, 2024 |
| Certified by provider | Oct 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | N257 | MN |
| Chiropractor | 111N00000X | 6450 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (MN) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nutritionist providers in Roseville
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