Roberta Dale Laredo, RD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

873 Issued in MA

Practice address

93 Union St
Suite 300
Newton Centre, MA 02459-2244

Phone

(617) 332-4233

Fax

(617) 332-8233

NPI assigned

Sep 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124124359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PHILMORE RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582719",
            "telephone_number": "617-527-9889",
            "fax_number": "617-795-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION ST",
            "address_2": "SUITE 300",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592244",
            "telephone_number": "617-332-4233",
            "fax_number": "617-332-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAREDO",
        "first_name": "ROBERTA",
        "middle_name": "DALE",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy P. Kochems, PH.D.
• Michele Kraman, PT
• Karen G. Kramer, LICSW
• D. Elliott Kronenfeld, LICSW
• Kellyann Langdon, MA LMHC
• Aimee Lataille, LICSW
• Lawrence E. Rosenberg, MDPC
• Jill Auline Lewis, PT
• Alice I-Ying Lin, M.D.
• Brenna Lincoln, PHD

• Registered Dietitian in Newton Centre, MA
• Providers in Newton Centre, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.