Active NPI
Rosa A. Siemens, RD, CDCES
- Registered Dietitian
- Florence, AZ
National Provider Identifier
1952584880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 708187
- Practice address
- 3376 N San Marin Dr
Florence, AZ 85132-7543 - Phone
- (831) 998-0494
- NPI assigned
- Dec 13, 2007
- 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 | 708187 | TX | Primary |
Addresses
Primary practice location
3376 N San Marin Dr
Florence, AZ 85132-7543
Mailing address
3376 N San Marin Dr
Florence, AZ 85132-7543
Phone (831) 998-0494
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 |
|---|---|---|---|
| 708187 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
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": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1952584880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3376 N SAN MARIN DR",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851327543",
"telephone_number": "831-998-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3376 N SAN MARIN DR",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851327543",
"telephone_number": "831-998-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEMENS",
"first_name": "ROSA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "RD, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2024-07-29",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "708187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.