Ellen Roth, R.D.

Registered Dietitian · Bloomington, IL

Individual Active NPI

NPI number 1396141859

Practice location

9 Heartland Dr Ste C
Bloomington, IL 61704-7733
Phone
(309) 663-7643
Fax
(309) 663-8359

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NPI record

NPI
1396141859
Entity type
Individual (Type 1)
Enumeration date
November 11, 2014
Last updated
November 11, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 164000669 IL

About Ellen Roth

Ellen Roth, R.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 9 Heartland Dr Ste C, Bloomington, IL 61704-7733. The NPI number 1396141859 was assigned on November 11, 2014 and the record was last updated on November 11, 2014.

Ellen Roth lists a license in the registry: #164000669 (IL) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Roth, R.D.?

The NPI number is 1396141859.

What is the phone number of Ellen Roth?

The phone number listed for the practice location is (309) 663-7643.

Where is Ellen Roth located?

9 Heartland Dr Ste C, Bloomington, IL 61704-7733.

What is the taxonomy code for Ellen Roth?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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