Active NPI
Nicole Roesch, RDN
- Registered Dietitian
- Riviera Beach, FL
National Provider Identifier
1467172072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND11532
- Practice address
- 7010 Barbour Rd
Riviera Beach, FL 33407-1002 - Phone
- (561) 510-0550
- NPI assigned
- Sep 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND11532 | FL | Primary |
Addresses
Primary practice location
7010 Barbour Rd
Riviera Beach, FL 33407-1002
Mailing address
7010 Barbour Rd Unit a
Riviera Beach, FL 33407-1002
Phone (561) 510-0550
Other practice location 1
2923 Hinda Rd
N Palm Beach, FL 33403-1464
Phone (386) 566-8309
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND11532 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1467172072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 BARBOUR RD UNIT A",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334071002",
"telephone_number": "561-510-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7010 BARBOUR RD",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334071002",
"telephone_number": "561-510-0550"
}
],
"practiceLocations": [
{
"address_1": "2923 Hinda Rd",
"address_purpose": "LOCATION",
"city": "N Palm Beach",
"state": "FL",
"postal_code": "334031464",
"country_code": "US",
"telephone_number": "386-566-8309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROESCH",
"first_name": "NICOLE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND11532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.