Emilie Ann Roman, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD006087 Issued in GA

Practice address

275 Upper Riverdale Rd SW Ste B
Riverdale, GA 30274-2556

Phone

(419) 806-6728

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1205488582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 13TH ST NE UNIT 2407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303095045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 UPPER RIVERDALE RD SW STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742556",
            "telephone_number": "419-806-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "EMILIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.08817",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD006087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Alverson Inc
• Dawn A. Robinson, D.C.
• Patricia Robinson
• Coleen M. Rodney-Brown, PT
• Jennifer Rodriguez, RBT
• Sarah Elizabeth Rosario, FNP-C
• Ross and Associates Medical Partners LLC
• William a J Alexander Jackson Ross Jr Jr., M.D.
• Antranika D. Ross, N.P.
• Kate Rotimi-Samuel, RN

• Registered Dietitian in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.