MARY J ROTH (NPI# 1780028928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780028928 |
| Entity Type | Individual |
| Full Name | MARY J ROTH |
| Other Name | MARY J HAWKINSON |
| Credential | RD |
| Practice Address |
47 Widefield Blvd Colorado Springs CO 80911-2126 |
| Practice Telephone | 7192826100 |
| Practice Fax Number | 7192826106 |
| Mailing Telephone | 7192826100 |
| Mailing Fax Number | 7192826106 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 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 |
| 1669790580 | Mary Roth | Social Worker | 703 Pro-med Ln, Carmel, IN 46032-5317 | 2010-05-17 |
| 1467606392 | Mary Deborah Roth | Dietitian, Registered | 3009 N Ballas Rd Ste 216b, Ste 216b, Saint Louis, MO 63131-2322 | 2008-11-05 |
| 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 |
47 WIDEFIELD BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80911-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326055229 | John M Mcmahon | Family Medicine | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2006-08-02 |
| 1053654319 | Center Pointe Family Medicine LLC | Family Medicine | 47 Widefield Blvd, Colorado Springs, CO 80911 | 2013-04-04 |
| 1164747309 | Lois Wenger | Nurse Practitioner | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2010-03-31 |
| 1407008899 | Laura Vallee Brown | Physician Assistant | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2008-10-16 |
| 1316119076 | Baiju Abdulla | Family Medicine | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2008-04-01 |
| 1679616791 | Shellie L Harms | Physician Assistant | 47 Widefield Blvd, Colorado Springs, CO 80911-2126 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740759208 | Jeremy Jorge Madrid Jr. | Specialist/Technologist | 7465 Dove Ceek Circle, Colorado Springs, CO 80911 | 2018-11-14 |
| 1033403472 | Ruth Schroeter Tate | Pharmacist | 6925 Fountain Mesa Rd, Fountain, CO 80911 | 2011-06-02 |
| 1194034314 | Ammon Jacobson | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911 | 2010-10-05 |
| 1801035639 | Catherine Jane Bottorff | Physical Therapist | 328 Main Street, Colorado Springs, CO 80911 | 2009-02-18 |
| 1649248014 | Department of The Army Usa Meddac/evans Army Community Hospital | Clinic/Center | Usa Meddac/evans Army Community Hospital, Ob/gyn Clinic 1650 Cochrane Cir, Ft Carson, CO 80911 | 2006-03-10 |
| 1841568169 | Evans Army Community Hospital | Military Hospital | 2400 Cody Dr, Colorado Springs, CO 80911-1018 | 2011-12-01 |
| 1114069812 | John C Bahrenburg | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-12 |
| 1174180103 | Peak Performance Ltd | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2019-05-24 |
| 1871636951 | Holly M Leslie | Chiropractor | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-15 |
| 1023150737 | Security Chiropractic, P.C. | Clinic/Center | 1825 Main St Ste C, Colorado Springs, CO 80911-1100 | 2007-02-12 |
| Find all providers in zip 80911 | ||||
| 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 |
|---|---|---|---|---|
| 1235738055 | Sara Naouchi | Dietitian, Registered | 3451 Prairie Bluff Cir, Colorado Springs, CO 80908-5242 | 2020-10-22 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1821609702 | Zeke Williams | Dietitian, Registered | 4308 Driftwood Dr, Colorado Springs, CO 80918-4522 | 2020-08-13 |
| 1023628674 | Synergy Nutrition Counseling | Dietitian, Registered | 2035 Bula Dr, Colorado Springs, CO 80915-1456 | 2020-08-07 |
| 1245855626 | Sylvia R King | Dietitian, Registered | 3141 Centennial Blvd Ste 2141, Colorado Springs, CO 80907-4094 | 2020-06-11 |
| 1467077974 | Krista Loos | Dietitian, Registered | 10 Cragmor Village Rd Unit 415, Colorado Springs, CO 80918-3712 | 2020-06-10 |
| 1477177251 | Steven Menegus | Dietitian, Registered | 5532 Butterfield Dr, Colorado Springs, CO 80923-8720 | 2020-06-08 |
| 1396368247 | Camden Thayer Shedd | Dietitian, Registered | 515 N Tejon St Apt 2, Colorado Springs, CO 80903-1138 | 2020-05-27 |
| 1033730122 | Center for Mind and Body Therapy | Dietitian, Registered | 611 N Weber St Ste 200, Colorado Springs, CO 80903-1072 | 2020-04-30 |
| 1598397671 | Corrie Gladwell | Dietitian, Registered | 1927 N Tejon St, Colorado Springs, CO 80907-6918 | 2020-02-06 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80911 |
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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.