Active NPI
Tracy L Roumell, RD
- Registered Dietitian
- Brooklyn, MI
National Provider Identifier
1508185281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 801884
- Practice address
- 1665 Wamplers Lake Rd
Brooklyn, MI 49230-9571 - Phone
- (517) 262-6186
- Fax
- (866) 596-3099
- NPI assigned
- May 20, 2010
- 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 | 801884 | MI | Primary |
Addresses
Primary practice location
1665 Wamplers Lake Rd
Brooklyn, MI 49230-9571
Mailing address
1665 Wamplers Lake Rd
Brooklyn, MI 49230-9571
Phone (517) 262-6186
Other names 1
- Tracy L Sherman
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 |
|---|---|---|---|
| 801884 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1508185281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1665 WAMPLERS LAKE RD",
"city": "BROOKLYN",
"state": "MI",
"postal_code": "492309571",
"telephone_number": "517-262-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 WAMPLERS LAKE RD",
"city": "BROOKLYN",
"state": "MI",
"postal_code": "492309571",
"telephone_number": "517-262-6186",
"fax_number": "866-596-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUMELL",
"first_name": "TRACY",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "801884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "SHERMAN",
"middle_name": "L",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brooklyn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.