Astrid Roman, RD
Individual provider Active NPI Registered Dietitian · Memphis, MS
NPI 1053781617 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1053781617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 8020 Hillside CV
Memphis, MS 38119 - Phone
- (901) 896-9588
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
8020 Hillside CV
Memphis, MS 38119
Mailing address
8020 Hillside CV
Olive Branch, MS 38654-1521
Phone (901) 896-9588
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.