Rosetta Bradford, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000001127 Issued in TN

Practice address

6015 Port Anadarko TRL
Hermitage, TN 37076-3117

Phone

(615) 885-1922

Fax

(615) 885-1922

NPI assigned

Nov 10, 2015

Last updated

Nov 10, 2015By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1326411489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 PORT ANADARKO TRL",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763117",
            "telephone_number": "615-885-1922",
            "fax_number": "615-885-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 PORT ANADARKO TRL",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763117",
            "telephone_number": "615-885-1922",
            "fax_number": "615-885-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "ROSETTA",
        "name_prefix": "Ms.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000001127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homa Boms, MD
• Melissa Dawn Bond
• Molly Boring, APRN, BC
• Camille Bourne
• Alisa Roseann Bowersock, DO
• Bradley Health Care, Inc
• Alexa Bradshaw
• Zachary Braver, M.A., BCBA, LBA
• Stephanie Brewer, NP
• Tara Brewer, NP

• Registered Dietitian in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.