Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Fornaris

Individual provider Registered Dietitian · NPI 1104762137

Samantha Fornaris is a Registered Dietitian in Riverside, Illinois. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

37 Northgate Rd
Riverside, IL 60546-1638
Phone: (239) 391-1860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1104762137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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