Kelly Renee Robers, RD, CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86023868 Issued in AZ

Practice address

15212 N 2ND St
Phoenix, AZ 85022-3610

Phone

(708) 469-9252

NPI assigned

Dec 15, 2014

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1851799357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 N 2ND ST STE 4020",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223610",
            "telephone_number": "602-935-8791",
            "fax_number": "833-441-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 N 2ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223610",
            "telephone_number": "708-469-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERS",
        "first_name": "KELLY",
        "middle_name": "RENEE",
        "credential": "RD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86023868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "86023868",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Phoenix",
            "address_1": "15212 N 2nd St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850223610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mindy Robbins, LCSW
• Richard Allen Robbins, M.D.
• Zachary J Robbins, MD
• Jennifer Victoria Robblee, MD MSC FRCPC
• Russell Irving Roberge III, D.D.S.
• Michael Vincent Robers, M.D.
• Roberson Clinical Services, LLC
• Angela Roberson, LCSW
• Frenita Roberson
• Joseph Charles Roberson, PH.D.

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.