Samantha Maldonado
Dietitian, Registered in Greenbelt, MD. Individual provider (NPI-1).
NPI number1760195101
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1760195101
- Entity type
- Individual (NPI-1)
- Name
- Samantha Maldonado
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2022
- Certification date
- Jul 22, 2025
- Last updated
- Jul 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONA
- 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 | DX5915 | MD | Yes |
Practice location
6301 Ivy Ln Ste 410Greenbelt, MD 20770-6357
Phone 301-474-2499
Mailing address
6301 Ivy Ln Ste 410Greenbelt, MD 20770-6357
Phone 301-474-2499
Other practice locations
189 Lantana Rd
Crossville, TN 38555-5078
Crossville, TN 38555-5078
Phone 931-456-0881
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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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