Individual provider Active NPI

Bernadette Roumbos, LPC, RD

  • Registered Dietitian
  • Tucson, AZ
National Provider Identifier
1194190694
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
874789 Issued in AZ
Practice address
120 S Houghton Rd Ste 138-106
Tucson, AZ 85748-6731
Phone
(602) 644-1142
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC18186 AZ
Registered Dietitian 133V00000X 874789 AZ Primary

Addresses

Primary practice location

120 S Houghton Rd Ste 138-106
Tucson, AZ 85748-6731

Mailing address

120 S Houghton Rd Ste 138-106
Tucson, AZ 85748-6731
Phone (602) 644-1142

Other identifiers 1

IdentifierTypeStateIssuer
763872MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC18186AZMDProfessional Counselor
874789AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Escalera Health LLC CurrentSince Mar 1, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

2224 N Craycroft Rd
Ste 100
Tucson, AZ 85712
Phone (520) 209-1919

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

6303 E Tanque Verde Rd
Ste 210
Tucson, AZ 85715
Phone (520) 423-5600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1194190694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HOUGHTON RD STE 138-106",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486731",
            "telephone_number": "602-644-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S HOUGHTON RD STE 138-106",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486731",
            "telephone_number": "602-644-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUMBOS",
        "first_name": "BERNADETTE",
        "credential": "LPC, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC18186",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "874789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763872",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.