Active NPI
Nellie Rovansek, RD, LD
- Registered Dietitian
- Augusta, GA
National Provider Identifier
1972969475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003932
- Practice address
- 2219 Dartmouth Rd
Augusta, GA 30904-3429 - Phone
- (706) 414-4104
- NPI assigned
- Jan 13, 2016
- 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 | LD003932 | GA | Primary |
Addresses
Primary practice location
2219 Dartmouth Rd
Augusta, GA 30904-3429
Mailing address
551 National Health Care Dr
Daytona Beach, FL 32114-1495
Phone (407) 664-0444
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 |
|---|---|---|---|
| LD003932 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1972969475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 NATIONAL HEALTH CARE DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141495",
"telephone_number": "407-664-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 DARTMOUTH RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309043429",
"telephone_number": "706-414-4104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROVANSEK",
"first_name": "NELLIE",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.