Active NPI
Cheryl Ann Robinson, RD, LD
- Registered Dietitian
- Roanoke, TX
National Provider Identifier
1558626697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01064629
- Practice address
- 15644 Landing Creek LN
Roanoke, TX 76262-3383 - Phone
- (817) 909-9103
- NPI assigned
- Jul 4, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 01064629 | TX | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 01064629 | TX | |
| Registered Dietitian | 133V00000X | 01064629 | TX | Primary |
Addresses
Primary practice location
15644 Landing Creek LN
Roanoke, TX 76262-3383
Mailing address
15644 Landing Creek LN
Roanoke, TX 76262-3383
Phone (817) 909-9103
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 |
|---|---|---|---|
| 01064629 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | 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": "1341360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1558626697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15644 LANDING CREEK LN",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762623383",
"telephone_number": "817-909-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15644 LANDING CREEK LN",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762623383",
"telephone_number": "817-909-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-04",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "TX",
"license": "01064629",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "TX",
"license": "01064629",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "01064629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.