Active NPI
Karen Marie Roop, R.D, L.D
- Registered Dietitian
- Isleta, NM
National Provider Identifier
1083194435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-1209
- Practice address
- 01 Sagebrush Street
Isleta, NM 87022 - Phone
- (505) 869-4595
- Fax
- (505) 869-4881
- NPI assigned
- Aug 15, 2018
- Last updated
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 | LD-1209 | NM | Primary |
Addresses
Primary practice location
01 Sagebrush Street
Isleta, NM 87022
Mailing address
PO Box 640
Isleta, NM 87022-0640
Phone (505) 869-4595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD-1209 | Other | NM | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
01 Sagebrush St
Albuquerque, NM 87105-0001
1 Sagebrush St SW
Albuquerque, NM 87105-3942
Phone (505) 869-4463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-1209 | NM | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo of Isleta | Past | Accepting new patients | |
| Pueblo of Isleta | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pueblo of Isleta Pharmacy
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Isleta, NM
- NPI 1407979008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1083194435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"city": "ISLETA",
"state": "NM",
"postal_code": "870220640",
"telephone_number": "505-869-4595",
"fax_number": "505-869-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "01 SAGEBRUSH STREET",
"city": "ISLETA",
"state": "NM",
"postal_code": "87022",
"telephone_number": "505-869-4595",
"fax_number": "505-869-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOP",
"first_name": "KAREN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "R.D, L.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-1209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LD-1209",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Isleta, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.