Mrs Jennifer Roach, is a
Dietitian, Registered based in Mount Shasta, California. Mrs Jennifer Roach is licensed to practice in California (license number 819436) and her current practice location is
408 Pine St, Mount Shasta, California. She can be reached at her office (for appointments etc.) via phone at
(530) 926-7196.
NPI number for Mrs Jennifer Roach is 1972304616 and her current mailing address is 408 Pine St, Mount Shasta, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972304616.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Roach |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 408 Pine St, Mount Shasta, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972304616
- Provider Enumeration Date: 03/20/2025
- Last Update Date: 06/17/2025
Medical Identifiers
Medical identifiers for Mrs Jennifer Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972304616 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 819436 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Roach is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Jennifer Roach, 408 Pine St, Mount Shasta, CA 96067-2126 Ph: (530) 926-7196 | Mrs Jennifer Roach, 408 Pine St, Mount Shasta, CA 96067-2126 Ph: (530) 926-7196 |
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