ALLISON ROACH
NPI 1528548583
Dietitian, Registered in Lubbock, TX
About Allison Roach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLISON ROACH (NPI 1528548583) is an individual dietitian, registered in Lubbock, Texas, licensed in Texas (DT05798) and active in the NPI registry since August 2018. She is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Allison Roach is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Allison Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78230
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 79410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUBBOCK, TX 79410
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 Allison Roach's NPI number?
The NPI number for Allison Roach is 1528548583. It was assigned to this individual provider in the NPPES registry on August 20, 2018.
Where is Allison Roach located?
Allison Roach practices at 3805 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 687-5670.
What is Allison Roach's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Allison Roach enrolled in Medicare?
Yes. Allison Roach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Allison Roach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Roach reassigns Medicare benefits to Functional Rd, LLC (San Antonio, TX). 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 Allison Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Allison Roach accept?
Health plans from Blue Cross and Blue Shield of Texas list Allison Roach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Allison Roach was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Allison Roach · NPI 1528548583
Dietitian, Registered provider in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since August 20, 2018.
## Identity
- **NPI:** 1528548583 (Entity type: Individual)
- **Enumerated:** August 20, 2018
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DT05798 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3805 22ND PL, Lubbock, TX 79410-1117
- **Phone:** (806) 687-5670 · **Fax:** (806) 687-5673
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Functional Rd, LLC (NPI 1932627312, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** August 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1528548583) · Data from the CMS NPPES public registry.