MRS. ELLEN ROTH (NPI# 1396141859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396141859 |
Entity Type | Individual |
Full Name | MRS. ELLEN ROTH |
Credential | R.D. |
Practice Address |
9 Heartland Dr Ste C Bloomington IL 61704-7733 |
Practice Telephone | 3096637643 |
Practice Fax Number | 3096638359 |
Mailing Telephone | 3096637643 |
Mailing Fax Number | 3096638359 |
Enumeration Date | 2014-11-11 |
Last Update Date | 2014-11-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 164000669 | IL | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356550933 | Ellen Nan Roth | Marriage & Family Therapist | 935 Westbourne Dr, #202, West Hollywood, CA 90069-4154 | 2007-05-21 |
1326114992 | Ellen Roth | Social Worker | 20 Squadron Boulevard #560, Dr Mark Tarle, New City, NY 10956 | 2006-11-27 |
1598865495 | Ellen Roth | Physical Therapist | 3221 Eastlake Ave E Apt 110, Seattle, WA 98102-7125 | 2006-09-22 |
1811420185 | Ellen Roth | Counselor | 7472 W Sahara Ave, Ste 102-a, Las Vegas, NV 89117-2783 | 2017-04-04 |
1518100999 | Ellen A Roth | Social Worker | 1 Maguire Rd, Lexington, MA 02421-3114 | 2009-04-14 |
1831214667 | Ellen Faye Roth | Psychologist | 38 Park St, Unit 9b, Florham Park, NJ 07932-1735 | 2007-03-20 |
1093885253 | Ellen Marie Roth | Nurse Anesthetist, Certified Registered | 9961 Sierra Ave, Anesthesia Department, Fontana, CA 92335-6720 | 2006-11-08 |
Street Address |
9 HEARTLAND DR STE C |
City | BLOOMINGTON |
State | IL |
Zip Code | 61704-7733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134751332 | Katelynne Grace Sitton | Nurse Practitioner | 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 | 2020-02-06 |
1619407863 | Debbie Novtney Wietfeldt | Nurse Practitioner | 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 | 2017-06-19 |
1831579598 | Daniel Cunningham | Family Medicine | 9 Heartland Dr Ste C, Bloomington, IL 61704-7733 | 2015-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
Find all providers in zip 61704 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
1164058392 | Hei Jessie Wong | Dietitian, Registered | 929 S Fenbrook Ct, Bloomington, IN 47401-4814 | 2020-03-19 |
1093289639 | Hannah Vaughan | Dietitian, Registered | 4101 E Morningside Dr, Bloomington, IN 47408-3146 | 2019-01-16 |
1508348228 | Javier Sandoval Jr. | Dietitian, Registered | 516 S Linden Ave, Bloomington, CA 92316-1221 | 2018-08-29 |
1164976007 | Rachel Noirot | Dietitian, Registered | 801 N Jordan Ave, Bloomington, IN 47405-2107 | 2016-08-09 |
1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
1710397278 | Randi Gibbs | Dietitian, Registered | 8040 Old Cedar Ave S, Bloomington, MN 55425-1234 | 2014-05-05 |
1558697326 | Food Stuff, Inc. | Dietitian, Registered | 10338 N 1750 East Rd, Bloomington, IL 61705-5950 | 2009-10-28 |
1760617476 | Marjorie Debruyne | Dietitian, Registered | 300 N Sheffield Dr, Bloomington, IN 47408-3141 | 2009-05-26 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61704 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.