Active NPI
Brittany Rogers, RD
- Registered Dietitian
- Fremont, CA
National Provider Identifier
1093482416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 7387
- Practice address
- 35605 Beeching LN
Fremont, CA 94536-2517 - Phone
- (845) 532-7280
- NPI assigned
- Aug 24, 2021
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD09109 | OH | |
| Registered Dietitian | 133V00000X | DT86526 | TX | |
| Registered Dietitian | 133V00000X | DI60911556 | WA | |
| Registered Dietitian | 133V00000X | DI00001063 | DC | |
| Registered Dietitian | 133V00000X | 164.00752 | IL | |
| Registered Dietitian | 133V00000X | 1185 | ND | |
| Registered Dietitian | 133V00000X | 7387 | NY | Primary |
Addresses
Primary practice location
35605 Beeching LN
Fremont, CA 94536-2517
Mailing address
140 Vista View PL
Petaluma, CA 94952-4728
Phone (845) 532-7280
Other names 1
- Brittany Roman-Green
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001063 | DC | MD | Registered Dietitian |
| 164.00752 | IL | MD | Registered Dietitian |
| 1185 | ND | MD | Registered Dietitian |
| 7387 | NY | MD | Registered Dietitian |
| LD09109 | OH | MD | Registered Dietitian |
| DT86526 | TX | MD | Registered Dietitian |
| DI60911556 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brittany Roman-Green Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- Petaluma, CA
- NPI 1265181861
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1093482416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 VISTA VIEW PL",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949524728",
"telephone_number": "845-532-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35605 BEECHING LN",
"city": "FREMONT",
"state": "CA",
"postal_code": "945362517",
"telephone_number": "845-532-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "BRITTANY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD09109",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT86526",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI60911556",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DC",
"license": "DI00001063",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.00752",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ND",
"license": "1185",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "7387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "ROMAN-GREEN",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.