Active NPI
Joshua S Roe
- Registered Dietitian
- Tripler Army Medical Center, HI
National Provider Identifier
1134695844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001 - Phone
- (808) 433-2365
- NPI assigned
- Oct 19, 2018
- 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 | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Mailing address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39020000X | Other | DIETETIC INTERN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1134695844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-433-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-433-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "JOSHUA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-19",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC INTERN",
"identifier": "39020000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tripler Army Medical Center, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.