Steven Bien Samera
Dietitian, Registered in Jacksonville, FL. Individual provider (NPI-1).
NPI number1023957271
StatusActive
Last updated in NPPESMar 25, 2026
Details
- NPI
- 1023957271
- Entity type
- Individual (NPI-1)
- Name
- Mr. Steven Bien Samera
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2026
- Certification date
- Mar 25, 2026
- Last updated
- Mar 25, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND4936 | FL | Yes |
Practice location
4217 Ripken Cir EJacksonville, FL 32224-9677
Phone 904-999-1173
Mailing address
4217 Ripken Cir EJacksonville, FL 32224-9677
Phone 904-999-1173
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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