Active NPI
Carly M. Roop, RD, LDN
- Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1154885051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004069
- Practice address
- 700 Spruce St # 304
Philadelphia, PA 19106-4022 - Phone
- (215) 240-7883
- NPI assigned
- Jan 24, 2019
- 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 | DN004069 | PA | Primary |
Addresses
Primary practice location
700 Spruce St # 304
Philadelphia, PA 19106-4022
Mailing address
18 Old Lancaster Rd # 2B
Merion Station, PA 19066-1854
Other practice location 1
7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (609) 933-2492
Other practice location 2
1800 Lombard St
Philadelphia, PA 19146-1414
Phone (215) 240-7883
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004069 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond Nutrition Counseling, Inc | 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.
-
dba Pentec Nutrition Counseling
- Registered Dietitian
- Upper Chichester, PA
- NPI 1437794310
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1154885051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 OLD LANCASTER RD # 2B",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SPRUCE ST # 304",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191064022",
"telephone_number": "215-240-7883"
}
],
"practiceLocations": [
{
"address_1": "7133 Roosevelt Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191491431",
"country_code": "US",
"telephone_number": "609-933-2492",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Lombard St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191461414",
"country_code": "US",
"telephone_number": "215-240-7883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOP",
"first_name": "CARLY",
"middle_name": "M.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.