Active NPI
Rochelle Amelia Young, RD.LDN
- Registered Dietitian
- Moreno Valley, CA
National Provider Identifier
1386200418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2860
- Practice address
- 23180 Hemlock Ave Ste 201
Moreno Valley, CA 92557-8001 - Phone
- (951) 243-6460
- Fax
- (951) 243-5871
- NPI assigned
- May 14, 2019
- Last updated
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | 2860 | LA | |
| Registered Dietitian | 133V00000X | 2860 | LA | Primary |
Addresses
Primary practice location
23180 Hemlock Ave Ste 201
Moreno Valley, CA 92557-8001
Mailing address
73043 Plantation St
Covington, LA 70435-5917
Phone (985) 705-6738
Other practice location 1
301 Main St Ste 2200
Baton Rouge, LA 70801-0014
Phone (225) 329-2337
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 |
|---|---|---|---|
| 2860 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lwell LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Abita Springs, LA
- NPI 1154979250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1386200418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73043 PLANTATION ST",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704355917",
"telephone_number": "985-705-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23180 HEMLOCK AVE STE 201",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925578001",
"telephone_number": "951-243-6460",
"fax_number": "951-243-5871"
}
],
"practiceLocations": [
{
"address_1": "301 Main St Ste 2200",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708010014",
"country_code": "US",
"telephone_number": "225-329-2337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "ROCHELLE",
"middle_name": "AMELIA",
"credential": "RD.LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "LA",
"license": "2860",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "LA",
"license": "2860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.