Active NPI
Dana Katherine Roscoe, MS, RDN LD
- Registered Dietitian
- Dayton, OH
National Provider Identifier
1750075537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.10100
- Practice address
- 500 E 3Rd St Apt 301
Dayton, OH 45402-5105 - Phone
- (630) 842-7058
- NPI assigned
- Jun 6, 2023
- Last updated
- Jun 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.10100 | OH | Primary |
| Pediatric Nutrition Registered Dietitian | 133VN1004X |
Addresses
Primary practice location
500 E 3Rd St Apt 301
Dayton, OH 45402-5105
Mailing address
500 E 3Rd St Apt 301
Dayton, OH 45402-5105
Other practice location 1
1668 Dartmouth Ct
Naperville, IL 60565-1735
Phone (630) 842-7058
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.10100 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walsh Nutrition Group, Inc. | 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.
-
- Metabolic Nutrition Registered Dietitian
- Burr Ridge, IL
- NPI 1992299788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1750075537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E 3RD ST APT 301",
"city": "DAYTON",
"state": "OH",
"postal_code": "454025105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E 3RD ST APT 301",
"city": "DAYTON",
"state": "OH",
"postal_code": "454025105",
"telephone_number": "630-842-7058"
}
],
"practiceLocations": [
{
"address_1": "1668 Dartmouth Ct",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605651735",
"country_code": "US",
"telephone_number": "630-842-7058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSCOE",
"first_name": "DANA",
"middle_name": "KATHERINE",
"credential": "MS, RDN LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.10100",
"primary": true
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.