Bernadette Roumbos LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

874789 RDN Issued in AZ

Legal business name

BERNADETTE ROUMBOS LLC

Doing business as

Serene Nutrition-Wellness

Practice address

2060 W Whispering Wind Dr
#274
Phoenix, AZ 85085-2867

Phone

(602) 644-1142

NPI assigned

Dec 20, 2016

Organization subpart

No

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

Authorized official

Name

Bernadette Roumbos, RDN

Title

Member

Phone

(590) 644-1142

Specialties & licenses 1

Addresses

Other names 1

• Serene Nutrition-Wellness Doing business as

Locations

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1285179754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HOUGHTON RD",
            "address_2": "SUITE 138-314",
            "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": "2060 W WHISPERING WIND DR",
            "address_2": "#274",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850852867",
            "telephone_number": "602-644-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE ROUMBOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "ROUMBOS",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "590-644-1142",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "874789 RDN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Nutrition-Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin M Berman, MD
• Laura Berman, CRNA
• Sandra Berman
• Joaquin Baca Bermudez, D.O.
• Alanna Cristin Bernacchi, D.C.
• Dulce Ivonne Bernal Desiderio, RBT
• Kyla Starr Bernal-Christenson, BCBA
• Amanda E. Bernal, LPC
• Cecelia Bernal
• Suzette Bernales, SLPA

• Health Service Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.