NPI 1184516767 · live from the CMS NPI Registry
Samantha Corbin, RD LD
Dietitian, Registered in Madison, AL. National Provider Identifier 1184516767, active.
NPI record
| NPI | 1184516767 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 343 S Back Creek Rd Nw, Madison, AL 35757 |
| Practice phone | 334-399-6652 |
| Enumerated | July 17, 2025 |
| Last updated | July 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 5821 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.