IndividualActive
Samantha Kostelnik, PHD, RDN, LD
NPI 1134873839 · Sports Dietetics Nutrition Registered Dietitian · Oxford, MS
Provider details
- NPI number
- 1134873839
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- PHD, RDN, LD
- Sex
- Female
- Sole proprietor
- No
- License
- D-2206 (MS)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2206 Anderson Rd Apt 1802
Oxford, MS 38655-2692
Phone: (803) 761-1970
Street-level locationGet directions
Mailing address
2301 S Lamar Blvd Ste Nw1350
Oxford, MS 38655-5373
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.