Active NPI
Abigail Currie Lenore Roche, RDN
- Registered Dietitian
- Memphis, TN
National Provider Identifier
1114433943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0000003253
- Practice address
- 43 N Cleveland St
Memphis, TN 38104-2301 - Phone
- (901) 333-8249
- Fax
- (901) 333-8255
- NPI assigned
- Dec 15, 2017
- Last updated
- Dec 15, 2017
- 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 | 0000003253 | TN | Primary |
Addresses
Primary practice location
43 N Cleveland St
Memphis, TN 38104-2301
Mailing address
43 N Cleveland St
Memphis, TN 38104-2301
Phone (901) 333-8249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000003253 | Other | TN | LICENSE |
| 86070450 | Other | TN | COMMISSION OF DIETETIC REGISTRATION |
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 |
|---|---|---|---|
| 0000003253 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1114433943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 N CLEVELAND ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042301",
"telephone_number": "901-333-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 N CLEVELAND ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042301",
"telephone_number": "901-333-8249",
"fax_number": "901-333-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "ABIGAIL",
"middle_name": "CURRIE LENORE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-15",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "0000003253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0000003253",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION OF DIETETIC REGISTRATION",
"identifier": "86070450",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.