Active NPI
Wendy Winkleman Roberts, RDN, LDN
- Registered Dietitian
- Smyrna, GA
National Provider Identifier
1659042497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002759
- Practice address
- 4201 Deerwood Pkwy SE
Smyrna, GA 30082-3929 - Phone
- (404) 808-8268
- NPI assigned
- Sep 22, 2021
- 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 | 002759 | GA | Primary |
Addresses
Primary practice location
4201 Deerwood Pkwy SE
Smyrna, GA 30082-3929
Mailing address
4201 Deerwood Pkwy SE
Smyrna, GA 30082-3929
Phone (404) 808-8268
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://wendy-roberts.clientsecure.me/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002759 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judith Ruth Medical Center LLC | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
10494 Veterans Memorial Hwy
Ste 5
Lithia Springs, GA 30122
Phone (404) 793-3806
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Lithia Springs, GA
- NPI 1144912270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1659042497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 DEERWOOD PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300823929",
"telephone_number": "404-808-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 DEERWOOD PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300823929",
"telephone_number": "404-808-8268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "WENDY",
"middle_name": "WINKLEMAN",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "002759",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://wendy-roberts.clientsecure.me/",
"affiliation": "N",
"endpointDescription": "Client Portal that is secure and protected via my Simple Practice account",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Secure client portal",
"address_1": "4201 Deerwood Pkwy SE",
"city": "Smyrna",
"state": "GA",
"country_code": "US",
"postal_code": "300823929",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.