MARY RADOVICH (NPI# 1477098861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477098861 |
| Entity Type | Individual |
| Full Name | MARY RADOVICH |
| Credential | MS RD CD |
| Practice Address |
303 E Dover St Milwaukee WI 53207-2003 |
| Practice Telephone | 7737067447 |
| Mailing Telephone | 7737067447 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2605-29 | WI | Dietary & Nutritional Service Providers |
| Street Address |
303 E DOVER ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53207-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304117 | Diane Wisch | Technician | 3602 S. 4th, Mil, WI 53207 | 2019-09-05 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1255677563 | Jon Arthur Toppen | Counselor | 2637 S Fulton St, Milwaukee, WI 53207 | 2012-12-14 |
| 1720316730 | Paula Maria Ortega Flores | Massage Therapist | 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 | 2009-12-02 |
| 1306087127 | Theron Mills | Counselor | 3073 S. Chase Ave., Suite 326, Milwaukee, WI 53207 | 2009-03-09 |
| 1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
| 1679727812 | Well-rounded, LLC | Clinic/Center | 2455 S. Howell Ave., Milwaukee, WI 53207 | 2008-11-14 |
| 1316154024 | Christian T. Harteau | Student in an Organized Health Care Education/Training Program | 3174 S Howell Ave, Milwaukee, WI 53207 | 2007-05-16 |
| 1316008303 | Thomas Fisher | Clinical Neuropsychologist | 2419 S. Lenox Street, Milwaukee, WI 53207 | 2006-12-13 |
| 1750470811 | David Alan Duter | Technician, Other | Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 | 2006-10-12 |
| Find all providers in zip 53207 | ||||
| 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 |
|---|---|---|---|---|
| 1154946226 | Andrew Conrad Senger | Dietitian, Registered | 2266 N Prospect Ave Ste 304, Milwaukee, WI 53202-6306 | 2020-06-14 |
| 1255956868 | Erin Maas | Dietitian, Registered | 4034 W Stonebridge Ct, Milwaukee, WI 53221-5749 | 2020-06-09 |
| 1982241808 | Angela Ellis | Dietitian, Registered | 2555 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-2709 | 2019-12-10 |
| 1023447919 | Laurie Meyer | Dietitian, Registered | 7405 N Skyline Ln, Milwaukee, WI 53217-3327 | 2013-11-01 |
| 1578900023 | Elena Teresa Marincic | Dietitian, Registered | 3237 S. 16th Street, Milwaukee, WI 53215 | 2013-05-23 |
| 1376989954 | Ann Marie Sherry | Dietitian, Registered | 5000 W. Chambers St., Milwaukee, WI 53210-1688 | 2013-05-22 |
| 1124463559 | Shannon Nicole Pieronek | Dietitian, Registered | 5015 W Burleigh St, Milwaukee, WI 53210-1662 | 2013-04-29 |
| 1275883431 | Kendra Kay Bridgewater | Dietitian, Registered | 9633 W Center St, Milwaukee, WI 53222-4524 | 2012-09-14 |
| 1083916175 | Debra Lynn Tressler | Dietitian, Registered | 2349 S 51st St, Apt 204, Milwaukee, WI 53219-2394 | 2010-11-23 |
| 1538394077 | Courtney Jo Safron | Dietitian, Registered | 945 N. 12th St., Aurora Sinai Medical Center of Aurora Health Care Inc, Milwaukee, WI 53233-1659 | 2009-05-28 |
| Find all providers in MILWAUKEE | ||||
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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.