Melissa Ellen Roch, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164.004658 Issued in IL

Practice address

836 W Wellington Ave
Advocate Illinois Masonic Medical Center, Food and Nutr
Chicago, IL 60657-5147

Phone

(773) 296-5912

Fax

(773) 296-5914

NPI assigned

Nov 25, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1275788713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W ADDISON ST",
            "address_2": "#3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133818",
            "telephone_number": "773-360-7605",
            "fax_number": "773-360-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, FOOD AND NUTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "773-296-5912",
            "fax_number": "773-296-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCH",
        "first_name": "MELISSA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.004658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele D Roby, OD
• William Earl Roby II
• Barbara S Rocah, M.D.
• Elyse Somers Rocco, PSY.D.
• Heather Rocco, B.S.
• Leslie Rocha
• Lourdes Rocha, LSW
• Colleen Roche, APN
• Daniel Roche, PHARMD
• Kathleen Roche

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.