Active NPI
Rachel L Roberts, RD
- Registered Dietitian
- Saint Clair Shores, MI
National Provider Identifier
1942803200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 898006
- Practice address
- 25631 Little Mack Ave Ste LL
Saint Clair Shores, MI 48081-2100 - Phone
- (586) 443-2998
- Fax
- (586) 443-2309
- NPI assigned
- Nov 19, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 898006 | MI | Primary |
Addresses
Primary practice location
25631 Little Mack Ave Ste LL
Saint Clair Shores, MI 48081-2100
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other names 1
- Rachel L Barancin
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rroberts1253132@epic00.shdirect.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 898006 | MI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William Beaumont Hospital | Past | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1942803200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25631 LITTLE MACK AVE STE LL",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480812100",
"telephone_number": "586-443-2998",
"fax_number": "586-443-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "RACHEL",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "898006",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rroberts1253132@epic00.shdirect.org",
"affiliation": "N",
"address_1": "25631 Little Mack Ave Ste Ll",
"city": "Saint Clair Shores",
"state": "MI",
"country_code": "US",
"postal_code": "480812100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "BARANCIN",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.