Shelby Roberson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1623 Issued in AR

Practice address

1500 Museum Rd
Conway, AR 72032-4785

Phone

(501) 932-9010

Fax

(870) 569-3579

NPI assigned

Nov 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shelby Pierceall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1700328994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MUSEUM RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324785",
            "telephone_number": "501-932-9010",
            "fax_number": "870-569-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 Longwall Dr Apt 1",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720349217",
            "country_code": "US",
            "telephone_number": "501-912-6796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "SHELBY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-05",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "PIERCEALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Desarae Roark, M.S. CCC SLP
• Eric Matthew Robbins, O.D.
• Holly Lynn Robbins, OTR/L
• Madison Danielle Robbins, LAC
• Sarah Elizabeth Robbins, RBT
• Bethany Roberts, CRNA
• Cynthia Marie Roberts, PT
• Haley Ranae Roberts
• Joshua Roberts, PHARMD
• Kristy M Roberts, DO

• Registered Dietitian in Conway, AR
• Providers in Conway, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.