Active NPI
James Roche
- Registered Dietitian
- Grand Junction, CO
National Provider Identifier
1104224070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1091988
- Practice address
- 2139 N 12TH St Ste 7
Grand Junction, CO 81501-2910 - Phone
- (970) 256-8449
- NPI assigned
- Dec 9, 2014
- Sex
- Male
- 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 | 1091988 | IL | Primary |
Addresses
Primary practice location
2139 N 12TH St Ste 7
Grand Junction, CO 81501-2910
Mailing address
2139 N 12TH St Ste 7
Grand Junction, CO 81501-2910
Phone (970) 256-8449
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 |
|---|---|---|---|
| 1091988 | IL | MD | Registered Dietitian |
Interoperability endpoints
- https://api.platform.athenahealth.com/24000/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418083200000",
"number": "1104224070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 N 12TH ST STE 7",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012910",
"telephone_number": "970-256-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 N 12TH ST STE 7",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012910",
"telephone_number": "970-256-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "1091988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.