Provider Demographics
NPI:1942064308
Name:SAMPAIO, JILLIAN (RD)
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:SAMPAIO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10634 CHISHOLM LANDING TER
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4263
Mailing Address - Country:US
Mailing Address - Phone:240-600-4880
Mailing Address - Fax:512-399-9039
Practice Address - Street 1:3724 JEFFERSON ST STE 104
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6204
Practice Address - Country:US
Practice Address - Phone:240-600-4880
Practice Address - Fax:512-399-9039
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered