KATHRYN ROBERTS
NPI 1710879937
Dietitian, Registered in Livonia, MI

Active since July 21, 2025
14555 LEVAN RD STE 311, LIVONIA, MI 48154(734) 655-2692(734) 655-4218 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathryn Roberts NPPES

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

KATHRYN ROBERTS (NPI 1710879937) is an individual dietitian, registered in Livonia, Michigan, licensed in Michigan (1032874) and active in the NPI registry since July 2025. The provider maintains a secondary practice location in Howell.

NPPES Registry Identity

NPI1710879937
Entity TypeIndividual
Primary Taxonomy133V00000X
Provider Legal NameKATHRYN ROBERTS
Location Address14555 LEVAN RD STE 311Livonia, MI 48154-5085
Mailing Address24 Frank Lloyd Wright Dr Ste J2000Ann Arbor, MI 48105-9484 · (734) 747-6766
Fax(734) 655-4218
Sole ProprietorNo
Enumeration DateJuly 21, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1710879937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MI · 1032874
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.
14555 LEVAN RD STE 311, Livonia, MI 48154

Secondary Practice Location 1

Location 1620 Byron Rd Ste 1200Howell, MI 48843-1002 · Phone (517) 545-6011 · Fax (517) 545-5122

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Roberts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kathryn Roberts reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Critical Care
36475 FIVE MILE RD
Livonia, MI 48154
  • Reassigned Medicare billing, Michigan enrollment
  • 74 clinicians in this Medicare group
Pediatrics
990 W ANN ARBOR TRL, SUITE 210
Plymouth, MI 48170
  • Reassigned Medicare billing, Michigan enrollment
  • 1,480 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.

Other Providers at the Same Location NPPES 5

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

Surgery
14555 LEVAN RD STE 311
LIVONIA, MI 48154
Dietitian, Registered
14555 LEVAN RD STE 311
LIVONIA, MI 48154
Physician Assistant
14555 LEVAN RD STE 311, SUITE 311
LIVONIA, MI 48154
Dietitian, Registered
14555 LEVAN RD STE 311
LIVONIA, MI 48154
Nurse Practitioner (Acute Care)
14555 LEVAN RD STE 311
LIVONIA, MI 48154

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 Kathryn Roberts's NPI number?

The NPI number for Kathryn Roberts is 1710879937. It was assigned to this individual provider in the NPPES registry on July 21, 2025.

Where is Kathryn Roberts located?

Kathryn Roberts practices at 14555 Levan Rd Ste 311, Livonia, MI 48154. The listed phone number is (734) 655-2692.

What is Kathryn Roberts's specialty?

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

Is Kathryn Roberts enrolled in Medicare?

Yes. Kathryn Roberts is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathryn Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Roberts reassigns Medicare benefits to 2 organizations: Iha Olma Specialty 1 LLC (Livonia, MI) and Iha Health Services Corporation (Plymouth, MI). Each 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 Kathryn Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Roberts accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kathryn Roberts 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 Kathryn Roberts was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.