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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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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

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