MRS. MARY BETH LAROCK (NPI# 1093836025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093836025 |
| Entity Type | Individual |
| Full Name | MRS. MARY BETH LAROCK |
| Credential | R.D. |
| Practice Address |
1111 Delafield St Ste 212 Waukesha WI 53188-3403 |
| Mailing Address |
2301 Sun Valley Dr Ste 200 Delafield WI 53018-2318 |
| Practice Telephone | 2625241024 |
| Practice Fax Number | 2625248767 |
| Mailing Telephone | 2626466426 |
| Mailing Fax Number | 2626462498 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
R528717 | WI | Dietary & Nutritional Service Providers |
| Street Address |
1111 DELAFIELD ST STE 212 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568649358 | Nicole Marie Griglione | Internal Medicine | 1111 Delafield St Ste 212, Waukesha, WI 53188-3403 | 2008-01-24 |
| 1285836676 | Kelly Sue Essman | Dietitian, Registered | 1111 Delafield St Ste 212, Waukesha, WI 53188-3403 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285836676 | Kelly Sue Essman | Dietitian, Registered | 1111 Delafield St Ste 212, Waukesha, WI 53188-3403 | 2007-06-05 |
| 1134321284 | Caryn A Pawlak | Dietitian, Registered | 1111 Delafield St, Suite 327, Waukesha, WI 53188-3417 | 2007-06-01 |
| 1720291586 | Renee' M. Pavelchik | Dietitian, Registered | 1111 Delafield St, 212, Waukesha, WI 53188-3417 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539087 | Wisconsin Kidney Care, S.c. | Dietitian, Registered | 1310 Mendota St Ste 119, Madison, WI 53714-1095 | 2020-08-20 |
| 1023649647 | Kelly Lynn Welsh | Dietitian, Registered | 175 Sunset Ln, Cedarburg, WI 53012-2616 | 2020-02-02 |
| 1861047813 | Laura Kay Fons | Dietitian, Registered | S76w12816 Cambridge Ct E, Muskego, WI 53150-4004 | 2019-08-06 |
| 1093312035 | Brooke Ashton Villalpando | Dietitian, Registered | 3003 University Dr, Marinette, WI 54143-4110 | 2020-10-02 |
| 1811261035 | Diane H Yee | Dietitian, Registered | 2840 Index Rd, Fitchburg, WI 53713-3117 | 2012-03-06 |
| 1881961134 | Upland Hills Health, Inc. | Dietitian, Registered | 800 Compassion Way, Dodgeville, WI 53533-1956 | 2011-11-30 |
| 1942325790 | Susan A. Miller | Dietitian, Registered | 123 Hospital Dr, Ste 1004, Watertown, WI 53098-3331 | 2007-03-20 |
Please comment or provide details below to improve the information on MRS. MARY BETH LAROCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.