Active NPI
Diana Grace Rotsko, MS, RD, LDN
- Registered Dietitian
- Cary, NC
National Provider Identifier
1316324668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004616
- Practice address
- 204 Davis Grove Cir
Suite 103
Cary, NC 27519-2580 - Phone
- (919) 436-3777
- NPI assigned
- May 6, 2015
- Last updated
- May 6, 2015
- 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 | L004616 | NC | Primary |
Addresses
Primary practice location
204 Davis Grove Cir
Suite 103
Cary, NC 27519-2580
Mailing address
1201 Whispering Oak LN
Durham, NC 27704-5095
Phone (408) 482-6358
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004616 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary THMD, PLLC | 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.
-
- General Practice Physician
- Cary, NC
- NPI 1437550845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1316324668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WHISPERING OAK LN",
"city": "DURHAM",
"state": "NC",
"postal_code": "277045095",
"telephone_number": "408-482-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 DAVIS GROVE CIR",
"address_2": "SUITE 103",
"city": "CARY",
"state": "NC",
"postal_code": "275192580",
"telephone_number": "919-436-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTSKO",
"first_name": "DIANA",
"middle_name": "GRACE",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.