MRS. ROBERTA DALE LAREDO (RD, LDN, CDE) – Registered Dietitian, NPI 1124124359

MRS. ROBERTA DALE LAREDO (RD, LDN, CDE) is a healthcare provider. based in Newton, Massachusetts. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD, LDN, CDE. They hold a License No. 873 (MA). The NPI Number for MRS. ROBERTA DALE LAREDO (RD, LDN, CDE) is 1124124359

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ROBERTA DALE LAREDO (RD, LDN, CDE)
NPI
1124124359
Phone
(617) 527-9889
Address
31 PHILMORE RD
Enumeration Date
15 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177100458
Graduation Year
1982 (44 years ago)
PAC ID
1759347743
Professional Enrollment ID
I20041201000883
Address ID
MA024590000NE93XXXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

247 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MA

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Provider Addresses for MRS. ROBERTA DALE LAREDO (RD, LDN, CDE)

  • 31, Philmore Road, Nonantum, Newton Centre, Newton, Middlesex County, Massachusetts, 02458, United States

    NEWTON, MA 024582719

    Phone: (617) 527-9889

    Fax: (617) 795-0893

    Type: Mailing

  • The Newton Roofers, 93, Union Street, Newton Centre, Newton, Middlesex County, Massachusetts, 02459, United States

    SUITE 300

    NEWTON CENTRE, MA 024592244

    Phone: (617) 332-4233

    Fax: (617) 332-8233

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041201000883IRegistered Dietitian Or Nutrition ProfessionalMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02458)

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Reviews

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Frequently asked questions

What is the registry number for MRS. ROBERTA DALE LAREDO (RD, LDN, CDE)?
The registry entry for MRS. ROBERTA DALE LAREDO (RD, LDN, CDE) shows NPI 1124124359.
Is MRS. ROBERTA DALE LAREDO (RD, LDN, CDE)'s NPI status active today?
Active status means MRS. ROBERTA DALE LAREDO (RD, LDN, CDE)'s NPI record is not deactivated in the public file.
Which specialty label fits MRS. ROBERTA DALE LAREDO (RD, LDN, CDE)?
NPPES ties MRS. ROBERTA DALE LAREDO (RD, LDN, CDE) to Registered Dietitian in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. ROBERTA DALE LAREDO (RD, LDN, CDE)?
MRS. ROBERTA DALE LAREDO (RD, LDN, CDE) shows a connection to Newton, Massachusetts in registry-derived data.
Who maintains MRS. ROBERTA DALE LAREDO (RD, LDN, CDE)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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