Active NPI
Rosa V. Iglesias, RD
- Registered Dietitian
- Destin, FL
National Provider Identifier
1174922868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 160 S Mattie M Kelly Blvd
Destin, FL 32541-3257 - Phone
- (575) 805-5154
- NPI assigned
- Aug 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 12022 | FL | |
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
160 S Mattie M Kelly Blvd
Destin, FL 32541-3257
Mailing address
160 S Mattie M Kelly Blvd Apt 1107
Destin, FL 32541-3259
Phone (575) 805-5154
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 |
|---|---|---|---|
| 1883 | PR | MD | Psychologist |
| 12022 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1174922868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 S MATTIE M KELLY BLVD APT 1107",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413259",
"telephone_number": "575-805-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S MATTIE M KELLY BLVD",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413257",
"telephone_number": "575-805-5154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGLESIAS",
"first_name": "ROSA",
"middle_name": "V.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-19",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "12022",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Destin, FL
- Jordan Huettl, LCSW
- Julia Humbarger
- Tami Elizabeth Huston, OT
- Kara Madonna Hyman, APRN
- Joshua Hynes
- Illume Counseling & Play Therapy
- In Your Dreams International Inc (Emerald Coast Sleep Disorder Center)
- Integrated Regional Laboratories Pathology Services, LLC
- Iperformance Center
- J. Luke Lentz, MD, PA (Lentz Lyme Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.