Kristine Roberts, RDN/LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1070 Issued in OH

Practice address

6578 Cliffside Ave NW
Massillon, OH 44646-9589

Phone

(330) 844-8743

NPI assigned

Apr 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Nutrition Just for You LLC

  • Clinic/Center
  • Massillon, OH
  • NPI 1720627045
  Authorized official Same address or phone

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1932542644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6578 CLIFFSIDE AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469589",
            "telephone_number": "330-844-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6578 CLIFFSIDE AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469589",
            "telephone_number": "330-844-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KRISTINE",
        "credential": "RDN/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION-DIETITIAN",
            "identifier": "707831",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE-DIETITIAN",
            "identifier": "1070",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Riley
• Marvin Galen Ringer Jr., LPC
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 03095)
• RMB Transportation (Independent Me)
• Gayle Ann Roberts, CNP
• Kimberly Kay Robertson
• Ashley R Robinson, CT
• Calen Marie Robinson, M.A. CCC-SLP
• Jeffrey Roby
• Diane Lee Myers Roe, LPN

• Registered Dietitian in Massillon, OH
• Providers in Massillon, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.