Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265102040 Individual Practitioner Female Practitioner

Debra Ann Super , RDN

Dietitian, Registered • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Debra Super, RDN is a registered healthcare professional specializing in Dietitian, Registered in Roanoke, VA. Practice services are available at 1906 BELLEVIEW AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1906 Belleview Ave Se

Roanoke, VA 240141838

Telephone 5407978738
Associated Practice Facility / Clinic
🏢 Carilion Medical Center Facility NPI 1033102942

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
54 Specialists

Practicing in Roanoke, VA (1320 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-08
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License VA 8606680

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Commission On Dietetic Registration
86066280 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
John Thompson , PA-C, ATC

Physician Assistant

NPI 1003176108

Physician Assistant (Certified), Certified Athletic Trainer

Dr. James Light , MD

Anesthesiology

NPI 1003234949

Doctor of Medicine (M.D.)

NPI 1003260373

Doctor of Medicine (M.D.)

NPI 1003348848

Doctor of Medicine (M.D.)

Dr. Nima Jahromi , DO

Student in an Organized Health Care Education/Training Program

NPI 1003504184

Doctor of Osteopathic Medicine (D.O.)

Nicole Schultz

Student in an Organized Health Care Education/Training Program

NPI 1003510512

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2021

Registered at 1906 BELLEVIEW AVE SE, ROANOKE, VA 240141838 (Tel: 5407978738)

📍
Updated Business Mailing Address September 14, 2021

Registered at 6541 FLOYD HWY N., CHECK, VA 24072 (Tel: 7972858924)

👤
Provider Name / Credentials Updated September 14, 2021

Recorded as DEBRA SUPER, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2021

Dietitian, Registered (License #8606680 in VA)

🟢
Initial NPI Registration & Enumeration September 14, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265102040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2021
Last Update: September 14, 2021
Sole Proprietor: No

Mailing Address

6541 Floyd Hwy N.

Check, VA 24072

Phone: 7972858924

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.