MRS. MARY DEBORAH ROTH (NPI# 1467606392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467606392 |
| Entity Type | Individual |
| Full Name | MRS. MARY DEBORAH ROTH |
| Credential | R.D.L.D |
| Practice Address |
3009 N Ballas Rd Ste 216b Ste 216b Saint Louis MO 63131-2322 |
| Practice Telephone | 3149964351 |
| Practice Fax Number | 3149964591 |
| Mailing Telephone | 3149964351 |
| Mailing Fax Number | 3149964591 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2001016361 | MO | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891082566 | Mary Ellen Roth | Counselor | 695 South Street, #6, Chardon, OH 44024 | 2011-07-01 |
| 1851483358 | Mary C Roth | Speech-Language Pathologist | 575 Scarsdale Rd, Tuckahoe, NY 10707-1659 | 2006-09-29 |
| 1336250687 | Mary Kay Roth | Dentist | 807 St Andrew, Rapid City, SD 57701-4526 | 2006-08-31 |
| 1780064139 | Mary Elizabeth Roth | Pharmacist | 101 Manning Dr, Cb 7600, Chapel Hill, NC 27514-4220 | 2015-06-01 |
| 1780028928 | Mary J Roth | Dietitian, Registered | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2013-04-18 |
| 1669790580 | Mary Roth | Social Worker | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2010-05-17 |
| 1467618785 | Mary A Roth | Nurse Practitioner | 2301 South 65 Highway, Marshall, MO 65340-3702 | 2008-08-06 |
| 1386817377 | Mary Claire Roth | Registered Nurse | 1 River St, Wakefield, RI 02879-3214 | 2008-04-10 |
| 1104947506 | Mary Margaret Roth | Speech-Language Pathologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2007-04-03 |
| 1912065160 | Mary Ellen Roth | Optometrist | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2006-12-04 |
| Street Address |
3009 N BALLAS RD STE 216B STE 216B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770780249 | Claudia E Humphrey | Dietitian, Registered | 3009 N Ballas Rd Ste 216b, Saint Louis, MO 63131-2308 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080550 | Abigail Wozniak | Dietitian, Registered | 4057 Flad Ave, Saint Louis, MO 63110-3924 | 2020-10-13 |
| 1033717962 | Jon Kuanfung | Dietitian, Registered | 1210 S Boyle Ave, Saint Louis, MO 63110-3814 | 2020-10-13 |
| 1063025153 | Macia Noorman | Dietitian, Registered | 2336 S Grand Blvd, Saint Louis, MO 63104-1755 | 2020-08-28 |
| 1447863865 | Serena E Mcphail | Dietitian, Registered | 3959a Potomac St, Saint Louis, MO 63116-3703 | 2020-08-25 |
| 1700496486 | Jennifer Ann Stripling | Dietitian, Registered | 12417 Dunedin Ln Apt 101, Saint Louis, MO 63146-2823 | 2020-08-06 |
| 1528677119 | Colleen E Madden | Dietitian, Registered | 5528 Pershing Ave Apt 205, Saint Louis, MO 63112-1769 | 2020-07-29 |
| 1043836315 | Abigail Debera Hallmark | Dietitian, Registered | 3510 Wyoming St Apt A, Saint Louis, MO 63118-2021 | 2020-06-22 |
| 1275163511 | Laura M Cusumano | Dietitian, Registered | 32 Oak Park Dr, Saint Louis, MO 63141-8428 | 2020-01-24 |
| 1689216871 | Healthy Bytes Solutions LLC | Dietitian, Registered | 20 S Sarah St, Saint Louis, MO 63108-2819 | 2019-10-09 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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| 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.