Active NPI
Linda M. Roberto, MNT
- Renal Nutrition Registered Dietitian
- Philadelphia, PA
National Provider Identifier
1376516997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- DN000560
- Practice address
- 10 E Moreland Ave
Suite 100
Philadelphia, PA 19118-3541 - Phone
- (267) 385-5538
- Fax
- (267) 437-3176
- NPI assigned
- Feb 13, 2006
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | DN000560 | PA | Primary |
Addresses
Primary practice location
10 E Moreland Ave
Suite 100
Philadelphia, PA 19118-3541
Mailing address
10 E Moreland Ave
Suite 100
Philadelphia, PA 19118-3541
Phone (267) 385-5538
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN000560 | PA | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326672000000",
"number": "1376516997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 E MORELAND AVE",
"address_2": "SUITE 100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183541",
"telephone_number": "267-385-5538",
"fax_number": "267-437-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E MORELAND AVE",
"address_2": "SUITE 100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183541",
"telephone_number": "267-385-5538",
"fax_number": "267-437-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTO",
"first_name": "LINDA",
"middle_name": "M.",
"credential": "MNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2012-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "PA",
"license": "DN000560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Robert J Ricchetti MD
- Robert M Selig MD T a Andorra Pediatrics
- Robert P. Schwartz, M.D., P.C.
- Robert T Sataloff, MD and Assoc, LLC
- Stephanie Marie Robert, MD, PHD
- Roberts Family & Sports Chiropractic
- Roberts Family and Sports Chiropractic
- Roberts Family Sports and Chiropractic
- Hadley Roberts-Donnelly
- Alexandra Elisa Roberts, LPC, MS, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.