Evangeline Yvonne Samples, is a
Dietitian, Registered based in Salem, West Virginia. Evangeline Yvonne Samples is licensed to practice in West Virginia (license number 501) and her current practice location is
2176 W Main St, Salem, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 629-7523.
NPI number for Evangeline Yvonne Samples is 1356204226 and her current mailing address is 2176 W Main St, Salem, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356204226.
Healthcare Provider's Profile
| Full Name | Evangeline Yvonne Samples |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 2176 W Main St, Salem, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356204226
- Provider Enumeration Date: 12/06/2025
- Last Update Date: 12/06/2025
Medical Identifiers
Medical identifiers for Evangeline Yvonne Samples such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356204226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 501 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evangeline Yvonne Samples is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Evangeline Yvonne Samples, 2176 W Main St, Salem, WV 26426-7519 Ph: (304) 629-7523 | Evangeline Yvonne Samples, 2176 W Main St, Salem, WV 26426-7519 Ph: (304) 629-7523 |
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