Samantha Leigh White, MCN, RDN is a
Dietitian, Registered based in Sundance, Wyoming. Samantha Leigh White is licensed to practice in Colorado (license number 86172305) and her current practice location is
713 E Oak St, Sundance, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 283-3501.
NPI number for Samantha Leigh White is 1740915800 and her current mailing address is Po Box 1134, Sundance, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740915800.
Healthcare Provider's Profile
Full Name | Samantha Leigh White |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 713 E Oak St, Sundance, Wyoming |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740915800
- Provider Enumeration Date: 07/21/2022
- Last Update Date: 12/09/2024
Medical Identifiers
Medical identifiers for Samantha Leigh White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740915800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 431 (Wyoming) | Secondary |
133V00000X | Dietitian, Registered | 86172305 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Leigh White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Leigh White, MCN, RDN Po Box 1134, Sundance, WY 82729-1134 Ph: (720) 648-2211 | Samantha Leigh White, MCN, RDN 713 E Oak St, Sundance, WY 82729-5172 Ph: (307) 283-3501 |
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