Active NPI
Julia Anna Roles, RD
- Registered Dietitian
- Providence, RI
National Provider Identifier
1730946898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86242812
- Practice address
- 8 Sibley St FL 3
Providence, RI 02907-3227 - Phone
- (203) 215-5466
- NPI assigned
- Mar 4, 2024
- Last updated
- Mar 4, 2024
- 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 | 86242812 | RI | Primary |
Addresses
Primary practice location
8 Sibley St FL 3
Providence, RI 02907-3227
Mailing address
8 Sibley St FL 3
Providence, RI 02907-3227
Phone (203) 215-5466
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86242812 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1730946898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SIBLEY ST FL 3",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029073227",
"telephone_number": "203-215-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 SIBLEY ST FL 3",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029073227",
"telephone_number": "203-215-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLES",
"first_name": "JULIA",
"middle_name": "ANNA",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "86242812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.