ROBERTA LEE DAVIS (RD) – Registered Dietitian, NPI 1083959407

Registered Dietitian

ROBERTA LEE DAVIS (RD) is a healthcare provider. based in Columbus, Ohio. specializing in Registered Dietitian. They hold the professional credentials RD. They hold a License No. 6923 (OH). The NPI Number for ROBERTA LEE DAVIS (RD) is 1083959407

Main info

Female

Sole Proprietor

15 Years Of Experience

Accepts Medicare Assignment

Name

ROBERTA LEE DAVIS (RD)

NPI

1083959407

Phone

(614) 447-9495

Address

4041 N HIGH ST

Enumeration Date

11 December 2012

Last Update Date

14 April 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2395719015

Graduation Year

2011 (15 years ago)

PAC ID

7719207141

Group Practice PAC ID

0143654145

Professional Enrollment ID

I20200331001506

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience40

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for ROBERTA LEE DAVIS (RD)

4041 N HIGH ST
COLUMBUS, OH 432143247
Phone: (614) 447-9495
Fax: (614) 447-9163
Mailing address matches the actual address.

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.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 43214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0143654145View full group profile

Name	Specialty	State
SANDRA LYNN BENEN (OTR/L)	-	FL
ANGELA JOY PRODANOV (MPT)	-	FL
BERLINDA ABED	-	FL
MRS. SHANON THEIN (OT)	-	FL

Reviews

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Frequently asked questions

How is ROBERTA LEE DAVIS (RD) identified in CMS data?

CMS-hosted NPPES data lists ROBERTA LEE DAVIS (RD) with NPI 1083959407.

Can I rely on ROBERTA LEE DAVIS (RD) being an active provider?

As of the registry snapshot, ROBERTA LEE DAVIS (RD) is marked active.

What taxonomy line describes ROBERTA LEE DAVIS (RD)?

For research purposes, treat ROBERTA LEE DAVIS (RD) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect ROBERTA LEE DAVIS (RD) on a map?

Expect Columbus, Ohio as a primary anchor for ROBERTA LEE DAVIS (RD) unless the record lists multiple sites.

Is the information about ROBERTA LEE DAVIS (RD) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."