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

Samuel David Russo, RDN

Individual provider Registered Dietitian · NPI 1912886375

Samuel David Russo, RDN is a Registered Dietitian in Des Peres, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

13100 Manchester Rd Ste 175
Des Peres, MO 63131-1729
Phone: (314) 275-0658
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86436000 (MO)

Record details

NPI number1912886375
Entity typeIndividual (Type 1)
GenderMale
Credentials RDN
Sole proprietorNo
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address13100 Manchester Rd Ste 175, Des Peres, MO 63131-1729

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