MEDICARE: SAMANTHA ROCHELLE PRATER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	2249	TN

General Provider Information

NPI Number	:	1982547287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA ROCHELLE PRATER

Provider Business Mailing Address
First Line	:	4017 ALBERT DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-4009
Country	:	US
Telephone Number	:	615-427-2982
Fax Number	:

Provider Business Practice Location Address
First Line	:	4017 ALBERT DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-4009
Country	:	US
Telephone Number	:	615-427-2982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2026
Last Update Date	:	04/11/2026

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Directions to “ SAMANTHA ROCHELLE PRATER ” Practice Location

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