Active NPI
Audrey J. Burt, R.D.
- Registered Dietitian
- Roanoke, VA
National Provider Identifier
1669581575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4800 Pleasant Hill Dr
Suite 203
Roanoke, VA 24018-3451 - Phone
- (540) 772-4930
- Fax
- (540) 772-0429
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
4800 Pleasant Hill Dr
Suite 203
Roanoke, VA 24018-3451
Mailing address
5585 Mount Laurel Rd
Roanoke, VA 24018-7807
Phone (540) 772-4907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 709293 | Other | RD NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nutrition Resource, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Nutrition Resource, Inc | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669581575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5585 MOUNT LAUREL RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240187807",
"telephone_number": "540-772-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 PLEASANT HILL DR",
"address_2": "SUITE 203",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183451",
"telephone_number": "540-772-4930",
"fax_number": "540-772-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "AUDREY",
"middle_name": "J.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RD NUMBER",
"identifier": "709293",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.