Sue Ellen Roberts, MPH MS RD CN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

NU00001772 Issued in WA

Practice address

1625 Butternut Ave
Richland, WA 99354-2743

Phone

(509) 392-2071

Fax

(309) 401-8759

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295945574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4354",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993534005",
            "telephone_number": "509-392-2071",
            "fax_number": "309-401-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 BUTTERNUT AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542743",
            "telephone_number": "509-392-2071",
            "fax_number": "309-401-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "credential": "MPH MS RD CN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "NU00001772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M. Gottlieb, DDS, PS
• Jeffrey Roberts, MPP
• John Roberts, LMP
• Maxwell Tyler Roberts, RPH
• Scott Lee Roberts, ARNP
• Andrea Marlene Robertson, CO61267249
• Lisa C Robertson
• Rhenley Ciar Robertson, LMT
• Alondra Robles, CBT
• Ana Robles, ARNP

• Registered Dietitian in Richland, WA
• Providers in Richland, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.