Samantha Rose Manero, MS, RD, LDN
Dietitian, Registered in Watertown, MA. Individual provider (NPI-1).
NPI number1043836745
StatusActive
Last updated in NPPESJul 6, 2021
Details
- NPI
- 1043836745
- Entity type
- Individual (NPI-1)
- Name
- Samantha Rose Manero
- Credential
- MS, RD, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2020
- Certification date
- Jul 6, 2021
- Last updated
- Jul 6, 2021
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 | 4919 | MA | Yes |
Practice location
311 Arsenal StreetWatertown, MA 02472
Phone 617-402-2157
Mailing address
311 Arsenal StreetWatertown, MA 02472
Phone 617-402-2157
Other practice locations
70 Walnut St
Foxborough, MA 02035-5312
Foxborough, MA 02035-5312
Phone 508-543-6371
Is something wrong?
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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