Provider Type Icon

KENNETH ANDRE ROBERTS MA RD LDN NPI 1124678578


NPI Information

NPI: 1124678578
Provider Name: KENNETH ANDRE ROBERTS, MA, RD, LDN
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
922A TALON DR
O FALLON, IL
ZIP 62269
Phone: (618) 688-2038
Get Directions

Kenneth Andre Roberts, MA, RD, LDN is a dietitian registered in O Fallon, IL. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Kenneth Andre Roberts, MA, RD, LDN NPI is 1124678578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

922A TALON DR
O FALLON, IL
ZIP 62269-848
Phone: (618) 688-2038

The enumeration date for this NPI number is 9/18/2019 and was last updated on 9/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered2019029751MISSOURINo
2133V00000XDietitian, Registered164.007826ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.