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
- 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86083909 | Other | CA | COMMISSION ON DIETETIC REGISTRATION |
| 2860 | Other | LA | LOUISIANA BOARD OF EXAMINERS OF DIETETIC & NUTRITION |
| 86083909 | Other | LA | COMMISSION ON DIETETIC REGISTRATION |
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 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86083909",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA BOARD OF EXAMINERS OF DIETETIC & NUTRITION",
"identifier": "2860",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86083909",
"state": "LA"
}
],
"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.