MISS ELAINE ROACH (NPI# 1255572889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255572889 |
| Entity Type | Individual |
| Full Name | MISS ELAINE ROACH |
| Credential | LD/N MPH |
| Practice Address |
3114 Commerce Pkway Miramar FL 33025-3943 |
| Practice Telephone | 3058165800 |
| Practice Fax Number | 3058165844 |
| Mailing Telephone | 3058165800 |
| Mailing Fax Number | 3058165844 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 132700000X | Dietary Manager | ND4061 | FL | Dietary & Nutritional Service Providers |
| Street Address |
3114 COMMERCE PKWAY |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33025-3943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211849 | Sedrek Childress | Dietary Manager | 3406 Soho St Apt 101, Orlando, FL 32835-7593 | 2016-08-28 |
| 1902283997 | Stephanie Ross | Dietary Manager | 1904 Holly St, Tallahassee, FL 32303-4512 | 2015-04-29 |
| 1235454000 | The Lohad Center for Anti-aging | Dietary Manager | 8761 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216-6397 | 2010-04-05 |
| 1962662445 | Calla Slim Spa | Dietary Manager | 444 W New England Ave, Suite 121, Winter Park, FL 32789-4224 | 2008-06-10 |
| 1558520254 | Suzanne Gil | Dietary Manager | 444 W New England Ave Ste 121, Winter Park, FL 32789-4224 | 2008-06-06 |
| 1982816070 | E-z Diabetes Management | Dietary Manager | 11911 Us Hwy One #201, North Palm Beach, FL 33408 | 2007-05-03 |
| 1457360513 | Kristin Noelle Klemann | Dietary Manager | Naval Hospital Pensacola 6000 West Highway 98, Medical Nutrition Therapy Dept, Pensacola, FL 32507 | 2006-08-07 |
| 1114357233 | Lauri Metzger | Dietary Manager | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2013-11-27 |
| 1396029203 | Florida Bariatrics and Nutrition | Dietary Manager | 14221 Sw 120th St Ste 129, Miami, FL 33186-7463 | 2011-10-11 |
| 1144504861 | Medi-weight Loss Clinic of Boca Raton | Dietary Manager | 555 N Federal Hwy, Suite 18-20, Boca Raton, FL 33432-3998 | 2011-09-29 |
| Find all providers with the same taxonomy | ||||
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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.