Samantha Rae Gwin, MS, RD, CSSD, LD
NPI 1720783152ActiveIndividual· Dietitian, Registered· Camp Lejeune, NC
Dietitian, Registered (MS, RD, CSSD, LD) in Camp Lejeune, North Carolina, licensed in NC and OH, with an NPI issued in April 2023.
Overview
| NPI | 1720783152 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, CSSD, LD |
| Sole proprietor | Yes |
| NPI issued | Apr 4, 2023 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | L005344 | NC |
| Dietitian, Registered | 133V00000X | LD09969 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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