Individual provider Active NPI

Maria Jose Romo-Palafox, PHD, RDN, LD

  • Registered Dietitian
  • Saint Louis, MO
National Provider Identifier
1568281202
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2021039301 Issued in MO
Practice address
4107 Juniata St
Saint Louis, MO 63116-3930
Phone
(512) 296-3670
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 2021039301 MO Primary

Addresses

Primary practice location

4107 Juniata St
Saint Louis, MO 63116-3930

Mailing address

4107 Juniata St
Saint Louis, MO 63116-3930
Phone (512) 296-3670

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2021039301MOMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1568281202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 JUNIATA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163930",
            "telephone_number": "512-296-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 JUNIATA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163930",
            "telephone_number": "512-296-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMO-PALAFOX",
        "first_name": "MARIA",
        "middle_name": "JOSE",
        "credential": "PHD, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2021039301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.