Jacie Adele Robles, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86114468 Issued in FL

Practice address

11331 SW 9TH CT
Pembroke Pines, FL 33025-4306

Phone

(786) 973-1918

NPI assigned

Jul 22, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Balance and Blossom Nutrition LLC

  • Registered Dietitian
  • Pembroke Pines, FL
  • NPI 1518650340

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Bradley Management LLC

  • Registered Dietitian
  • Edina, MN
  • NPI 1376213934

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1760117709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 SW 9TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254306",
            "telephone_number": "786-973-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 SW 9TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254306",
            "telephone_number": "786-973-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "JACIE",
        "middle_name": "ADELE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "86114468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.totumnutrition.com",
            "affiliation": "Y",
            "endpointDescription": "Working telehealth",
            "affiliationName": "Totum Nutrition & Wellness Consultants LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11331 SW 9th Ct",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330254306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Gabrielle Robison, DO
• Lucie Robitaille, OT
• Anet Roblejo
• Annel Robles Iglesias, FNP
• Alondra Maria Robles
• Ricci C Robson, LMHC, CAP
• Yelissa Roca Mendez
• Geisy Roca
• Rocent Dental Care, Inc.
• Kathleen Maria Rodrigues

• Registered Dietitian in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.