Individual provider Active NPI

Diana Grace Rotsko, MS, RD, LDN

  • Registered Dietitian
  • Cary, NC
National Provider Identifier
1316324668
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004616 Issued in NC
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
L004616NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.