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MISS ELAINE ROACH LD/N MPH
NPI 1255572889
Dietitian, Registered in Pembroke Pines, FL

Active since March 11, 2009
9680 PINES BLVD, PEMBROKE PINES, FL 33024(954) 367-6192(954) 342-9624 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2021, Aug 6, 2021 (2 updates tracked since 2021).

About Miss Elaine Roach Ld/n Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS ELAINE ROACH LD/N MPH (NPI 1255572889) is an individual dietitian, registered in Pembroke Pines, Florida and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1255572889
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMISS ELAINE ROACHCredential: LD/N MPH
Location Address9680 PINES BLVDPembroke Pines, FL 33024-6246
Mailing AddressPo Box 170084Hialeah, FL 33017-0084 · (954) 367-6192 · Fax (305) 816-5844
Phone(954) 367-6192
Fax(954) 342-9624
Sole ProprietorYes
Enumeration DateMarch 11, 2009
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1255572889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
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.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
Also ListedDietitian, Registered · Nutrition, GerontologicalTaxonomy 133VN1101X
9680 PINES BLVD, Pembroke Pines, FL 33024
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Elaine Roach Ld/n Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Elaine Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellness 4 Life Inc
Same address
Nutritionist
9680 PINES BLVD, N/A
Pembroke Pines, FL 33024
  • Reassigned Medicare billing, Florida enrollment
NPI 1033357009 (954) 367-6192

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLNESS 4 LIFE INC
Nutritionist
9680 PINES BLVD, N/A
PEMBROKE PINES, FL 33024
Broward County (954) 367-6192
PROVIDERS OF TENDER LOVING CARE LLC
In Home Supportive Care
9680 PINES BLVD
PEMBROKE PINES, FL 33024
Broward County (954) 202-5200
MELISSA ROSETTA SOMERS RDN, LD/N
Dietitian, Registered
9680 PINES BLVD
PEMBROKE PINES, FL 33024
Broward County (954) 367-6192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaine Roach's NPI number?

The NPI number for Elaine Roach is 1255572889. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Where is Elaine Roach located?

Elaine Roach practices at 9680 Pines Blvd, Pembroke Pines, FL 33024. The listed phone number is (954) 367-6192.

What is Elaine Roach's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Elaine Roach enrolled in Medicare?

Yes. Elaine Roach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elaine Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Roach reassigns Medicare benefits to Wellness 4 Life Inc (Pembroke Pines, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elaine Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elaine Roach was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.