Individual provider Active NPI

Pamela J Roney, RD

  • Registered Dietitian
  • Tampa, FL
National Provider Identifier
1891363776
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND10197 Issued in FL
Practice address
5401 W Kennedy Blvd
Tampa, FL 33609-2428
Phone
(888) 964-1975
Fax
(877) 743-5351
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X ND10197 FL Primary

Addresses

Primary practice location

5401 W Kennedy Blvd
Tampa, FL 33609-2428

Mailing address

5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457
Phone (888) 964-1975

Other practice location 1

5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457
Phone (888) 964-1975

Other identifiers 1

IdentifierTypeStateIssuer
ND10197OtherFLFLORIDA DEPT. OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dietitiansgroup.com Direct The Dietitians Group of West Florida, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622000243 FL Practitioner - Registered Dietitian Or Nutrition Professional 1052712544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

34921 US Hwy 19 N
Palm Harbor, FL 34684-1969

7143 State Rd
54 Unit 121
New Port Richey, FL 34653

80 Palomino LN
Suite 101
Bedford, NH 03110-6447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition in Motion Dietitian, Registered CurrentSince Sep 27, 2022 Accepting new patients

Locations

150 S Pine Island Rd
Ste 300
Plantation, FL 33324
Phone (954) 530-2803

80 Palomino Ln
Ste 101
Bedford, NH 03110
Phone (603) 315-7936

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1891363776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 W KENNEDY BLVD STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092457",
            "telephone_number": "888-964-1975",
            "fax_number": "877-743-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092428",
            "telephone_number": "888-964-1975",
            "fax_number": "877-743-5351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 W Kennedy Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336092457",
            "country_code": "US",
            "telephone_number": "888-964-1975",
            "fax_number": "877-743-5351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONEY",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND10197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPT. OF HEALTH",
            "identifier": "ND10197",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dietitiansgroup.com",
            "affiliation": "Y",
            "affiliationName": "The Dietitians Group of West Florida, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34921 US Highway 19 N",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346841969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

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