Samantha Christina Liotta Carson, | |
1373 Eaglecrest Rd, Salina, KS 67401-8909 | |
(330) 998-2958 | |
Not Available |
Full Name | Samantha Christina Liotta Carson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1373 Eaglecrest Rd, Salina, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568175578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
133VN1501X | Dietitian, Registered - Nutrition, Sports Dietetics | (* (Not Available)) | Secondary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Samantha Christina Liotta Carson, 3724 Jefferson St Ste 104, Austin, TX 78731-6204 Ph: () - | Samantha Christina Liotta Carson, 1373 Eaglecrest Rd, Salina, KS 67401-8909 Ph: (330) 998-2958 |
Crystal Ann Bertrand, RD,LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2090 S Ohio St, Salina, KS 67401 Phone: 785-825-8221 Fax: 785-452-7530 | |
Kittie Govreau, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 S Santa Fe Ave, Salina, KS 67401 Phone: 785-452-7000 | |
Ann Catherine Schneider, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 S Santa Fe Ave, Salina, KS 67401 Phone: 785-452-7000 | |
Ms. Joanne Marie Gartner, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 703 Scott Ave, Salina, KS 67401 Phone: 785-820-0038 | |
Marcella Newcomer, Dietitian Medicare: Medicare Enrolled Practice Location: 2090 S Ohio St, Suite 3w, Salina, KS 67401 Phone: 785-309-2323 Fax: 785-309-2331 | |
Renee K Riedel, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 520 S Santa Fe Ave, Suite 300, Salina, KS 67401 Phone: 785-823-7470 Fax: 785-823-0506 | |
Megan Katt, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 511 S Santa Fe Ave, Salina, KS 67401 Phone: 785-452-4849 Fax: 785-452-4883 |