MISS STACY ANNE ROTH (NPI# 1427189075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427189075 |
| Entity Type | Individual |
| Full Name | MISS STACY ANNE ROTH |
| Credential | RD, LDN, MPH |
| Practice Address |
9039 W Church St Apt 1h Des Plaines IL 60016-7008 |
| Practice Telephone | 6302013847 |
| Mailing Telephone | 6302013847 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689077018 | Stacy Roth | Clinical Nurse Specialist | 4600 3rd St, Moline, IL 61265-6106 | 2014-09-30 |
| 1356307029 | Stacy Roth | Physical Therapist | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2006-04-21 |
| Street Address |
9039 W CHURCH ST APT 1H |
| City | DES PLAINES |
| State | IL |
| Zip Code | 60016-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1407367022 | Vcare Pharmacy Inc | Pharmacy | 380 E Nortwest Hwy, Suite 201, Des Plaines, IL 60016 | 2017-10-23 |
| 1649799610 | George N Hotousiotis | Pharmacist | 10 East Golf Road, Des Plaines, IL 60016 | 2017-09-11 |
| 1619494838 | Abdul M Shamsuddin | Physical Therapist | 2555 Suffield St, Des Plaines, IL 60016 | 2017-08-28 |
| 1063960482 | Rachel Kimbrough | Counselor | 100 N River Road, Des Plaines, IL 60016 | 2016-09-14 |
| 1902250178 | Perfect Storm Chiropractic, LLC | Chiropractor | 565 Concord Ln, Des Plaines, IL 60016 | 2016-04-14 |
| 1255796611 | Nektaria Goudis | Psychologist | 950 Lee Street, Des Plaines, IL 60016 | 2015-12-29 |
| 1831501352 | Gary R. Kuntz | Dentist | 1173 Algonquin Rd., Des Plaines, IL 60016 | 2014-06-02 |
| 1558773754 | Midwest Anesthesia and Pain Specialists, Sc | Pain Medicine | 9700 Golf Rd, Second Floor, Des Plaines, IL 60016 | 2014-05-22 |
| 1508282377 | Maciej Padowski | Emergency Medicine | 9500 Greenwood Dr, Des Plaines, IL 60016 | 2014-03-17 |
| Find all providers in zip 60016 | ||||
| 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 |
|---|---|---|---|---|
| 1184247488 | Dasol Kim | Dietitian, Registered | 1370 E Washington St Apt 2sw, Des Plaines, IL 60016-7111 | 2020-05-20 |
| 1467942631 | Reanna Peterman | Dietitian, Registered | 1400 E Touhy Ave Ste 300a, Des Plaines, IL 60018 | 2018-05-14 |
| 1992221758 | Rosalia Marie Nunez | Dietitian, Registered | 601 Birchwood Ave, Des Plaines, IL 60018-2615 | 2017-08-14 |
| 1790192698 | Pamela Fagen | Dietitian, Registered | 2200 E Devon Ave Ste 309, Des Plaines, IL 60018-4505 | 2014-07-13 |
| 1063832269 | Kate Melissa Letten | Dietitian, Registered | 2200 East Devon Avenue, Suite #309, Des Plaines, IL 60018 | 2014-04-26 |
| 1053434340 | Tracey V. Goytia | Dietitian, Registered | 1555 Lee St, Des Plaines, IL 60018-1518 | 2007-04-09 |
| 1760905889 | Karen Suleiman | Dietitian, Registered | 2250 E Devon Ave Ste 333, Des Plaines, IL 60018-4532 | 2017-07-20 |
| 1336593425 | Olesya Altman | Dietitian, Registered | 2250 E Devon Ave, Suite 333, Des Plaines, IL 60018-4511 | 2016-04-15 |
| 1578823001 | Sweta D Sheth | Dietitian, Registered | 1635 Oakton Pl, Des Plaines, IL 60018-2002 | 2012-05-17 |
| 1942271069 | Laura Olson | Dietitian, Registered | 8901 Golf Rd, Suite 203, Des Plaines, IL 60016-6850 | 2006-01-27 |
| Find all providers in DES PLAINES | ||||
| City | DES PLAINES |
| Zip Code | 60016 |
Please comment or provide details below to improve the information on MISS STACY ANNE ROTH.
| 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.