Active NPI
Alexa Roseberry
- Registered Dietitian
- Bethlehem, PA
National Provider Identifier
1215577192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN006136
- Practice address
- 2597 Schoenersville Rd
Bethlehem, PA 18017-7325 - Phone
- (610) 402-8900
- NPI assigned
- Jan 8, 2020
- 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 | DN006136 | PA | Primary |
Addresses
Primary practice location
2597 Schoenersville Rd
Bethlehem, PA 18017-7325
Mailing address
4172 Yorktown Rd
Coopersburg, PA 18036-8811
Phone (267) 663-8145
Other practice location 1
3820 Church School Rd
Doylestown, PA 18902-5416
Phone (610) 904-8613
Other names 1
- Alexa Leomporra
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
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1215577192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4172 YORKTOWN RD",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180368811",
"telephone_number": "267-663-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2597 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180177325",
"telephone_number": "610-402-8900"
}
],
"practiceLocations": [
{
"address_1": "3820 Church School Rd",
"address_purpose": "LOCATION",
"city": "Doylestown",
"state": "PA",
"postal_code": "189025416",
"country_code": "US",
"telephone_number": "610-904-8613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSEBERRY",
"first_name": "ALEXA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN006136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXA",
"last_name": "LEOMPORRA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.