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Active NPI 1063753739 Individual Practitioner Female Practitioner

Susan Renee Samuels , MS, RD, LD

Dietitian, Registered • Jasper, AR

Professional Overview & Biography Verified Profile Summary

Susan Samuels, MS, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Jasper, AR. Practice services are available at PO BOX 591 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Po Box 591

Jasper, AR 726410591

Telephone 8702191890

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Jasper, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Jasper, AR (579 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-11
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License AR 1118

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 11, 2026

Registered at PO BOX 591, JASPER, AR 726410591 (Tel: 8702191890)

📍
Updated Business Mailing Address May 11, 2026

Registered at PO BOX 591, JASPER, AR 726410591 (Tel: 8702191890)

👤
Provider Name / Credentials Updated May 11, 2026

Recorded as SUSAN SAMUELS, MS, RD, LD

NPI Profile Active March 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2013

Registered at 3017 N BOB YOUNKIN DR, FAYETTEVILLE, AR 727033926 (Tel: 4794634333)

📍
Updated Business Mailing Address March 06, 2013

Registered at 3017 N BOB YOUNKIN DR, FAYETTEVILLE, AR 727033926 (Tel: 4794634333)

👤
Provider Name / Credentials Updated March 06, 2013

Recorded as SUSAN PENN, MS, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2013

Dietitian, Registered (License #1118 in AR)

🟢
Initial NPI Registration & Enumeration March 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063753739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2013
Last Update: May 11, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 591

Jasper, AR 726410591

Phone: 8702191890

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.