Individual provider Active NPI

Rachel Anderson Roberts, RD, LDN

  • Registered Dietitian
  • North Providence, RI
National Provider Identifier
1679652093
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00528 Issued in RI
Practice address
1635 Mineral Spring Ave.
Suite 205
North Providence, RI 02904
Phone
(401) 305-6602
Fax
(401) 305-6617
NPI assigned
Nov 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2138 MA
Registered Dietitian 133V00000X LDN00528 RI Primary

Addresses

Primary practice location

1635 Mineral Spring Ave.
Suite 205
North Providence, RI 02904

Mailing address

1635 Mineral Spring Ave.
Suite 205
North Providence, RI 02904
Phone (401) 305-6602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614001552 RI Practitioner - Registered Dietitian Or Nutrition Professional 2264416635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness Resolutions LLCGroup PAC ID 3476537945, 4 clinicians

Practice addresses (Care Compare)

1635 Mineral Spring Ave
Suite 205
North Providence, RI 02904-4025
Phone (401) 305-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2138MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Resolutions, LLC Dietitian, Registered CurrentSince Nov 15, 2003 Accepting new patients
Envisions Eyecare Centers Inc Past Accepting new patients
Atwood Medical Associates LTD PastSince Sep 5, 2007 Accepting new patients

Locations

1635 Mineral Spring Ave
#205
North Providence, RI 02904
Phone (401) 305-6602

1243 Mineral Spring Ave
Unit 211
North Providence, RI 02904
Phone (401) 305-6602

1635 Mineral Spring Ave
Ste 205
North Providence, RI 02904
Phone (401) 305-6602

328 Cowesett Ave
West Warwick, RI 02893
Phone (401) 575-8316

Organizations & group practices 3

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": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1679652093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 MINERAL SPRING AVE.",
            "address_2": "SUITE 205",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-305-6602",
            "fax_number": "401-305-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MINERAL SPRING AVE.",
            "address_2": "SUITE 205",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-305-6602",
            "fax_number": "401-305-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "RACHEL",
        "middle_name": "ANDERSON",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2138",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "RI",
            "license": "LDN00528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.

Verify at the official NPI Registry.