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).
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 |
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 |
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 |
Street Address |
110 MASCOUTAH AVE |
City | BELLEVILLE |
State | IL |
Zip Code | 62220-3801 |
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 Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
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. |
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 |
City | BELLEVILLE |
Zip Code | 62220 |
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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.