Active NPI
Allison Roach
- Registered Dietitian
- Lubbock, TX
National Provider Identifier
1528548583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT05798
- Practice address
- 3805 22ND PL
Lubbock, TX 79410-1117 - Phone
- (806) 687-5670
- Fax
- (806) 687-5673
- NPI assigned
- Aug 20, 2018
- 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 | DT05798 | TX | Primary |
Addresses
Primary practice location
3805 22ND PL
Lubbock, TX 79410-1117
Mailing address
3805 22ND PL
Lubbock, TX 79410-1117
Phone (806) 687-5670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Shavano Park, TX 78231
Phone (409) 658-5028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT05798 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Single Specialty | Past | Accepting new patients |
| Vedic Nutrition LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 5
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.
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Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1528548583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101117",
"telephone_number": "806-687-5670",
"fax_number": "806-687-5673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101117",
"telephone_number": "806-687-5670",
"fax_number": "806-687-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "ALLISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT05798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.