Samantha Sullivan, MS, RD, LD
NPI 1821397969ActiveIndividual· Dietitian, Registered· Alamogordo, NM
Dietitian, Registered (MS, RD, LD) in Alamogordo, New Mexico, licensed in NM, with an NPI issued in March 2011.
Overview
| NPI | 1821397969 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LD |
| Sole proprietor | Yes |
| NPI issued | Mar 15, 2011 |
| Last updated in NPPES | Mar 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1002021 | NM |
| Dietitian, Registered | 133V00000X | LD-0775 | NM |
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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