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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. ELLEN ROTH, R.D.

Active

MRS. ELLEN ROTH, R.D. is a Registered Dietitian healthcare provider located in BLOOMINGTON, Illinois. NPI 1396141859 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · BLOOMINGTON, IL

Registration Details

NPI Number
1396141859
Provider Type
Individual
Gender
Female
NPI Issued
Nov 11, 2014 (11.57448375962 yrs)
Last Updated
Nov 11, 2014
License
164000669 (IL)

Practice Information

Address
9 HEARTLAND DR STE C
BLOOMINGTON, IL, 617047733
Browse IL providers · Browse ZIP 61704
Phone
3096637643
Fax
3096638359
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in BLOOMINGTON, IL

Name Credential NPI
MRS. JULIE R DOSTAL RD,CDE 1154378826
DAWN BLOCKLINGER CAMPOS RD, LDN 1558661066
RACHEL WAYNE 1124311345
ELAYNA FEHR MS, RDN, LDN, CLC 1336769181
KYLEE JANE FETZNER RDN 1619565678
BONNIE WILLIAMS 1508443086
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.