Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396141859 Individual Practitioner Female Practitioner

Ellen Roth , RD

Dietitian, Registered • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Ellen Roth, RD is a registered healthcare professional specializing in Dietitian, Registered in Bloomington, IL. Practice services are available at 9 HEARTLAND DR STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9 Heartland Dr Ste C

Bloomington, IL 617047733

Telephone 3096637643
Fax 3096638359

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Bloomington, IL (2895 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL 164000669

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1265454607

Doctor of Medicine (M.D.)

Elizabeth Scanlon , NP

Nurse Practitioner

NPI 1437464971

Nurse Practitioner

NPI 1487747481

Doctor of Medicine (M.D.)

Dr. Adam Houghton , MD

Family Medicine

NPI 1568783439

Doctor of Medicine (M.D.)

Katy Northcutt , APRN, CNP

Nurse Practitioner - Family

NPI 1609343128

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2014

Registered at 9 HEARTLAND DR STE C, BLOOMINGTON, IL 617047733 (Tel: 3096637643)

📍
Updated Business Mailing Address November 11, 2014

Registered at 9 HEARTLAND DR STE C, BLOOMINGTON, IL 617047733 (Tel: 3096637643)

👤
Provider Name / Credentials Updated November 11, 2014

Recorded as ELLEN ROTH, R.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2014

Dietitian, Registered (License #164000669 in IL)

🟢
Initial NPI Registration & Enumeration November 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396141859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2014
Last Update: November 11, 2014
Sole Proprietor: No

Mailing Address

9 Heartland Dr Ste C

Bloomington, IL 617047733

Phone: 3096637643

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.