Individual provider Active NPI

Roberta Pearle Lamb, MPH, RD, LDN

  • Registered Dietitian
  • Riverside, RI
National Provider Identifier
1750520540
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1027 Issued in MA
Practice address
121 Cedar Ave
Riverside, RI 02915-5536
Phone
(781) 405-4340
NPI assigned
Feb 18, 2009
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 61317309 WA
Nutritionist 133N00000X 1027 MA
Nutritionist 133N00000X 00828 RI
Nutrition Education Nutritionist 133NN1002X 1027 MA
Registered Dietitian 133V00000X 1027 MA Primary
Pediatric Nutrition Registered Dietitian 133VN1004X 1027 MA
Renal Nutrition Registered Dietitian 133VN1005X 1027 MA
Metabolic Nutrition Registered Dietitian 133VN1006X 61317309 WA
Metabolic Nutrition Registered Dietitian 133VN1006X 1027 MA
Gerontological Nutrition Registered Dietitian 133VN1101X 61317309 WA
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 61317309 WA
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 00828 RI
Oncology Nutrition Registered Dietitian 133VN1301X 61317309 WA

Addresses

Primary practice location

121 Cedar Ave
Riverside, RI 02915-5536

Mailing address

121 Cedar Ave
Riverside, RI 02915-5536
Phone (781) 405-4340

Other practice location 1

410 5th Ave SW Unit 404
Olympia, WA 98501-1058
Phone (781) 405-4340

Other identifiers 1

IdentifierTypeStateIssuer
MT0683OtherMAMEDICARE PTAN

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

State licenses

LicenseStateTypeSpecialty
00828RIMDNutritionist
61317309WAMDOncology Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Newton-Wellesley Eating Disorders & Behavioral Medicine PastSince Feb 16, 2010 Accepting new patients
Newton-Wellesley Behavioral Medicine & Eating Disorders 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": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1750520540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CEDAR AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155536",
            "telephone_number": "781-405-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CEDAR AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155536",
            "telephone_number": "781-405-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 5th Ave SW Unit 404",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985011058",
            "country_code": "US",
            "telephone_number": "781-405-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMB",
        "first_name": "ROBERTA",
        "middle_name": "PEARLE",
        "credential": "MPH, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "61317309",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MA",
            "license": "1027",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "RI",
            "license": "00828",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MA",
            "license": "1027",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1027",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MA",
            "license": "1027",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MA",
            "license": "1027",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WA",
            "license": "61317309",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MA",
            "license": "1027",
            "primary": false
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "WA",
            "license": "61317309",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "WA",
            "license": "61317309",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "RI",
            "license": "00828",
            "primary": false
        },
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "WA",
            "license": "61317309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MT0683",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.