MRS. ELLEN ROTH


Address: 9 Heartland Dr Ste C, Bloomington, IL 61704-7733
Phone: 3096637643

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 164000669 IL Dietary & Nutritional Service Providers

Other Providers ELLEN ROTH

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

Office Location

Street Address 9 HEARTLAND DR STE C
City BLOOMINGTON
State IL
Zip Code 61704-7733

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City BLOOMINGTON
Zip Code 61704

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Dataset Information

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.

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