Samantha Ellis, MS, RD
NPI 1285044750ActiveIndividual· Dietitian, Registered· Walden, NY
Dietitian, Registered (MS, RD) in Walden, New York, trained at City University of New York School of Medicine (class of 2011). Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1285044750 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD |
| Sole proprietor | Yes |
| NPI issued | May 5, 2014 |
| Last updated in NPPES | May 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1033283 | NY |
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 (NY) |
|---|
Education and affiliations
| Medical school | City University of New York School of Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical groups
- Marc D Price DO PLLCMechanicville, NY · 6 clinicians
- Lgc Nutrition LLCDelmar, NY · 2 clinicians
Other registered dietitians in Walden
- 1235711995