Samantha Ellis, MS, RD
Samantha Ellis, MS, RD is registered under Registered Dietitian OR Nutrition Professional in Walden, New York. Graduated from City University of New York School of Medicine in 2011, 15 years ago. Practices with Lgc Nutrition LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 15
- Trained at
- City University of New York School of Medicine
- Licensed in
- NY
- In the registry since
- 2014
What do these letters mean?
Practice location Address checks out
44 Pleasant AveWalden, NY 12586-1240 Not confirmed with CMS for 12 years — call before visiting
Phone: (845) 597-8128
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 1033283 (NY) |
|---|
Record details
| NPI number | 1285044750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , RD |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2014 |
| Last updated in NPPES | May 5, 2014 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Lgc Nutrition Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Colleagues at Lgc Nutrition LLC
- Mrs. Lindsey Grace Cumoletti, MSRDN Registered Dietitian · Delmar, NY