Active NPI
Vanessa Roberson, RD, LD
- Registered Dietitian
- Little Rock, AR
National Provider Identifier
1780196998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1269
- Practice address
- 5608 C St
Little Rock, AR 72205-3314 - Phone
- (479) 208-3330
- NPI assigned
- Oct 27, 2017
- Last updated
- Oct 27, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1269 | AR | Primary |
Addresses
Primary practice location
5608 C St
Little Rock, AR 72205-3314
Mailing address
5608 C St
Little Rock, AR 72205-3314
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 |
|---|---|---|---|
| 1269 | AR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509062400000",
"number": "1780196998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 C ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5608 C ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053314",
"telephone_number": "479-208-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "VANESSA",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-27",
"last_updated": "2017-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AR",
"license": "1269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
- Morgan Gabrielle Robbins, LPN
- Will Ray Robbins, MD
- Ayanna Roberson
- Michael C Roberson, MD
- Russell Roberson, M.D.
- Robert E. Anderson, DDS, PA
- Robert E. Casali, M.D., P.a. (Central Arkansas Vascular Surgery)
- Robert L. Tramel, DDS, PLLC
- Robert Lee Fleming Professional LLC
- Robert Lyon Berry M.D. (Eye Care Arkansas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.