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

Samantha Nicole Burdette

Individual provider Registered Dietitian · NPI 1811797897

Samantha Nicole Burdette is a Registered Dietitian OR Nutrition Professional in Charleston, West Virginia. Qualified in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
7
Licensed in
WV
In the registry since
2025

Practice location Address checks out

600 Tracy Way
Charleston, WV 25311-1262
Phone: (304) 388-4965
Show map & directions

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

Additional practice locations (1)

  • 501 Morris St, Charleston, WV 25301-1326 — (304) 388-5432

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1548 (WV)

Record details

NPI number1811797897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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