Active NPI
Dennise Lopez, MBA, RD, CSR.
- Registered Dietitian
- Roanoke, VA
National Provider Identifier
1013941863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 927332
- Practice address
- 4477 Brentwood CT
Roanoke, VA 24018-3856 - Phone
- (540) 632-8325
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 927332 | VA | Primary |
Addresses
Primary practice location
4477 Brentwood CT
Roanoke, VA 24018-3856
Mailing address
4477 Brentwood CT
Roanoke, VA 24018-3856
Phone (540) 632-8325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 927332 | VA | MD | Registered Dietitian |
| 1354 | PR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rca Psychotherapeutic Group Inc | Past | Accepting new patients | |
| Rca Phychotherapeutic Group | Past | Accepting new patients | |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Health Care Rehab. Group | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Carolina, PR
- NPI 1770513756
-
- Psychologist
- Carolina, PR
- NPI 1306876230
-
- Podiatrist
- Carolina, PR
- NPI 1669469383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731801600000",
"number": "1013941863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4477 BRENTWOOD CT",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183856",
"telephone_number": "540-632-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 BRENTWOOD CT",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183856",
"telephone_number": "540-632-8325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DENNISE",
"credential": "MBA, RD, CSR.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2024-11-17",
"certification_date": "2024-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "927332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.