Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Ellen Roth, RD

Individual provider Registered Dietitian · NPI 1396141859

Mrs. Ellen Roth, RD is a Registered Dietitian in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

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

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 164000669 (IL)

Record details

NPI number1396141859
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedNovember 11, 2014
Last updated in NPPESNovember 11, 2014
Mailing address9 Heartland Dr Ste C, Bloomington, IL 61704-7733

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