Active NPI
Victoria Roughsedge, RDN, LD
- Registered Dietitian
- Birmingham, AL
National Provider Identifier
1952029381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3330
- Practice address
- 1717 11TH Ave S
Mt 727
Birmingham, AL 35205 - Phone
- (205) 975-2249
- NPI assigned
- Aug 22, 2022
- 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 | 3330 | AL | Primary |
Addresses
Primary practice location
1717 11TH Ave S
Mt 727
Birmingham, AL 35205
Mailing address
1717 11TH Ave S
Mt 727
Birmingham, AL 35205
Phone (205) 975-2249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86199308 | Other | AL | CDR |
| 3330 | Other | AL | ALABAMA BOARD OF DIETETICS AND NUTRITIONISTS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vlroughsedge@uabmc.edu | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 3330 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1952029381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 11TH AVE S",
"address_2": "MT 727",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35205",
"telephone_number": "205-975-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 11TH AVE S",
"address_2": "MT 727",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35205",
"telephone_number": "205-975-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUGHSEDGE",
"first_name": "VICTORIA",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "3330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "86199308",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA BOARD OF DIETETICS AND NUTRITIONISTS",
"identifier": "3330",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vlroughsedge@uabmc.edu",
"affiliation": "N",
"endpointDescription": "encrypted email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1717 11th Ave S",
"address_2": "MT 727",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "35205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.