KENNETH ANDRE ROBERTS II


Address: 110 Mascoutah Ave, Belleville, IL 62220-3801
Phone: 6186882038

KENNETH ANDRE ROBERTS II (NPI# 1124678578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124678578
Entity Type Individual
Full Name KENNETH ANDRE ROBERTS II
Credential MA, RD, LDN
Practice Address 110 Mascoutah Ave
Belleville
IL 62220-3801
Practice Telephone 6186882038
Mailing Telephone 6186882038
Enumeration Date 2019-09-18
Last Update Date 2019-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered 2019029751 MO Dietary & Nutritional Service Providers
Y 133V00000X Dietitian, Registered 164.007826 IL Dietary & Nutritional Service Providers

Other Providers KENNETH ROBERTS

NPI Name Taxonomy Address Enumeration
1801359559 Kenneth Wayne Roberts Student in an Organized Health Care Education/Training Program Aventura Hospital & Medical Center, 20900 Biscayne Blvd, Aventura, FL 33138 2019-04-10
1801157805 Kenneth James Roberts Jr. Massage Therapist 9420 Towne Square Ave, Suite #3, Blue Ash, OH 45242-6922 2012-06-06
1124245006 Kenneth Wayne Roberts Dentist 546 N Lafayette St, South Lyon, MI 48178-2000 2007-04-20
1194890848 Kenneth C Roberts Internal Medicine 400 Veterans, Biloxy, MS 39531 2006-11-21
1598732521 Kenneth E. Roberts Family Medicine 287 Healthwest Dr, Dothan, AL 36303-2031 2006-03-08
1285991620 Kenneth Latroye Roberts Counselor 3435 W Shaw Ave, Ste. 101, Fresno, CA 93711-3234 2012-04-23
1740503556 Kenneth Lewis Roberts Counselor 366 Prior Ave N, Saint Paul, MN 55104-5165 2010-03-08
1740329028 Kenneth Eugene Roberts Social Worker 620 5th Avenue, Fairbanks, AK 99701 2007-02-05
1285748954 Kenneth M. Roberts Physician Assistant 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174-5956 2006-08-18
1144264946 Kenneth Barry Roberts Pediatrics 1200 N Elm St, Greensboro, NC 27401-1004 2006-06-15

Office Location

Street Address 110 MASCOUTAH AVE
City BELLEVILLE
State IL
Zip Code 62220-3801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144729716 St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of Clinic/Center 180 South Third Street Suite 101, Belleville, IL 62220 2018-02-08
1437675535 Prorehab PC Occupational Therapist 1915 Carlyle Ave, Ste D, Belleville, IL 62220 2017-08-21
1629527650 Arika Forrest Nurse Practitioner 140 Iowa Ave, Belleville, IL 62220 2016-10-03
1861861403 Belleville Endoscopy LLC Internal Medicine 311 West Lincoln St, Suite 101, Belleville, IL 62220 2015-09-24
1962871558 Antony Frierdich Specialist/Technologist 22 South 13th Street, Belleville, IL 62220 2015-09-24
1588032858 Dana Wright Pharmacist 211 South Thrid Street, Belleville, IL 62220 2015-09-03
1629208731 Lisa Marlow Johnson Developmental Therapist 34 Fenwood Dr, Belleville, IL 62220 2009-07-23
1841361623 Neurological Surgery of Belleville Neurological Surgery 340 West Lincoln Street, Suite 540, Belleville, IL 62220 2006-11-13
1689769119 Kathy Jo Corn Counselor 521 W. Main, Suite 201 B, Belleville, IL 62220 2006-10-03
1780609578 Southern Illinois Health Care Foundation, Inc. Counselor 180 S 3rd St Ste 103&104, Belleville, IL 62220 2006-07-13
Find all providers in zip 62220

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467095208 Kahli J Brubaker Peachey Dietitian, Registered 6447 State Route 655, Belleville, PA 17004-9249 2019-10-24
1912441031 Eileen Hoag Dietitian, Registered 105 S Missouri Ave, Belleville, IL 62220-3867 2016-12-08
1356663090 Jennifer Caudell Dietitian, Registered 2271 Haverford Dr, Belleville, IL 62221-7994 2010-02-22
1366681769 Nieves D Galgo Dietitian, Registered 275 Linden Ave, Belleville, NJ 07109-2809 2009-02-10
1508912619 Li S Harder Dietitian, Registered 201 Henry St, 106, Belleville, MI 48111-2958 2007-01-25
1467067736 Amanda Krieger Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2020-09-13
1952952020 Kathleen Villarino Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-09-20
1083261309 Tatyana Aponte Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-08-21
1023575479 Ame Lynn Golaszewski Dietitian, Registered 4752 State Route 655, Belleville, PA 17004-9272 2019-02-21
1801372206 Arielle Joy Greenbaum Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2018-07-18
Find all providers in BELLEVILLE

Competitor

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City BELLEVILLE
Zip Code 62220

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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