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NPI 1063956928ActiveOrganization· Dietitian, Registered· Ankeny, IA
Dietitian, Registered in Ankeny, Iowa, registered in NPPES in December 2016. The authorized official on file is Susan M. Holmes Roberts, RDN, Owner.
Overview
| NPI | 1063956928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2016 |
| Last updated in NPPES | Dec 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 86059632 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 23 registered dietitians in Ankeny · All registered dietitians in Iowa