Regina S Isroff, R.D., L.D., C.D.

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

37001276 Issued in IN

Practice address

2202 Cherokee Cir
Valparaiso, IN 46383-2284

Phone

(219) 531-4966

Fax

(219) 531-4965

NPI assigned

Apr 10, 2007

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

Other names 1

• Mrs. Gina S Isroff Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184847378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 CHEROKEE CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832284",
            "telephone_number": "219-531-4966",
            "fax_number": "219-531-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 CHEROKEE CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832284",
            "telephone_number": "219-531-4966",
            "fax_number": "219-531-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISROFF",
        "first_name": "REGINA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IN",
            "license": "37001276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "ISROFF",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "R.D., L.D., C.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pediatric Nutrition Registered Dietitian in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Pediatric Nutrition Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.