Active NPI
Roberta Tripp, RD
- Registered Dietitian
- Harrisburg, PA
National Provider Identifier
1245402544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN000026
- Practice address
- 111 S Front Street
Harrisburg, PA 17101-1020 - Phone
- (717) 782-5283
- Fax
- (717) 782-5192
- NPI assigned
- Mar 26, 2008
- Last updated
- Apr 27, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 513983 | PA | |
| Registered Dietitian | 133V00000X | DN000026 | PA | Primary |
Addresses
Primary practice location
111 S Front Street
Harrisburg, PA 17101-1020
Mailing address
118 Washington Street
Harrisburg, PA 17104-1612
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021062260001 | Medicaid | PA | |
| 9068015 | Other | PA | CIGNA |
Other names 1
- Roberta Jeryl Rosen
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 |
|---|---|---|---|
| 513983 | PA | MD | Nutritionist |
| DN000026 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Pinnacle Hospitals | 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.
-
- Ambulatory Surgical Clinic/Center
- Harrisburg, PA
- NPI 1528940962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1245402544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WASHINGTON STREET",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT STREET",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171011020",
"telephone_number": "717-782-5283",
"fax_number": "717-782-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "ROBERTA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "PA",
"license": "513983",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN000026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021062260001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9068015",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERTA",
"last_name": "ROSEN",
"middle_name": "JERYL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.