Individual provider Active NPI

Cheryl J Roberts, RD

  • Registered Dietitian
  • Manistee, MI
National Provider Identifier
1427100098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone
(231) 398-1000
Fax
(231) 398-1198
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

1465 E Parkdale Ave
Manistee, MI 49660-9709

Mailing address

1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 398-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230316000231 MI Practitioner - Registered Dietitian Or Nutrition Professional 3971977885 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed CurrentSince Feb 23, 2023 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Feb 23, 2023 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Hospital CurrentSince Feb 23, 2023 Accepting new patients
Ascension Borgess Hospital CurrentSince Feb 23, 2023 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Feb 23, 2023 Accepting new patients
Promed Healthcare CurrentSince Feb 23, 2023 Accepting new patients

Locations

3180 Solutions Ctr
Chicago, IL 60677

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1717 Shaffer St
Ste 124
Kalamazoo, MI 49048
Phone (269) 226-5456

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

345 Naomi St
Plainwell, MI 49080
Phone (269) 552-0100

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 7

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427100098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 E PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609709",
            "telephone_number": "231-398-1000",
            "fax_number": "231-398-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 E PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609709",
            "telephone_number": "231-398-1000",
            "fax_number": "231-398-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHERYL",
        "middle_name": "J",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.