JESSICA ROMAN (NPI# 1306216437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306216437 |
Entity Type | Individual |
Full Name | JESSICA ROMAN |
Credential | RD |
Practice Address |
1136 W 17th St Ste. B Bloomington IN 47404-3002 |
Mailing Address |
3213 S Walnut Springs Dr Bloomington IN 47401-7424 |
Practice Telephone | 2602271174 |
Mailing Telephone | 2602271174 |
Enumeration Date | 2015-10-01 |
Last Update Date | 2015-10-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 86052599 | IN | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639454150 | Jessica Del Carmen Roman | Dietitian, Registered | 176 Calle Zarzuela, Urb. Palacios Reales, Toa Alta, PR 00953-4916 | 2011-10-16 |
1164963054 | Jessica Elizabeth Roman | Counselor | 14323 Ocean Hwy Unit 4103, Pawleys Island, SC 29585-4817 | 2017-03-13 |
1366893190 | Jessica Vianney Roman | Counselor | 725 E Main St, Santa Paula, CA 93060-2748 | 2016-06-22 |
1750775565 | Jessica Roman | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2015-03-19 |
1255675666 | Jessica Christina Roman | Registered Nurse | 1069 Kane Concourse, Bay Harbor Islands, FL 33154-2105 | 2012-11-26 |
1699942136 | Jessica Ann Roman | Anesthesiology | 110 Irving St Nw, Room G226, Washington, DC 20010-3017 | 2008-05-14 |
Street Address |
1136 W 17TH ST STE. B |
City | BLOOMINGTON |
State | IN |
Zip Code | 47404-3002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548514136 | Katelyn J Minelli | Marriage & Family Therapist | 1136 W 17th St, Suite B, Bloomington, IN 47404-3002 | 2012-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
Find all providers in zip 47404 |
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 |
---|---|---|---|---|
1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
1164058392 | Hei Jessie Wong | Dietitian, Registered | 929 S Fenbrook Ct, Bloomington, IN 47401-4814 | 2020-03-19 |
1093289639 | Hannah Vaughan | Dietitian, Registered | 4101 E Morningside Dr, Bloomington, IN 47408-3146 | 2019-01-16 |
1508348228 | Javier Sandoval Jr. | Dietitian, Registered | 516 S Linden Ave, Bloomington, CA 92316-1221 | 2018-08-29 |
1164976007 | Rachel Noirot | Dietitian, Registered | 801 N Jordan Ave, Bloomington, IN 47405-2107 | 2016-08-09 |
1396141859 | Ellen Roth | Dietitian, Registered | 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 | 2014-11-11 |
1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
1710397278 | Randi Gibbs | Dietitian, Registered | 8040 Old Cedar Ave S, Bloomington, MN 55425-1234 | 2014-05-05 |
1558697326 | Food Stuff, Inc. | Dietitian, Registered | 10338 N 1750 East Rd, Bloomington, IL 61705-5950 | 2009-10-28 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47404 |
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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.