MS. ELLIE ROCK


Address: 5424 N Sun Shimmer Ave, Meridian, ID 83646-5536
Phone: 2083514640

MS. ELLIE ROCK (NPI# 1992310148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992310148
Entity Type Individual
Full Name MS. ELLIE ROCK
Credential RDN, LD
Practice Address 5424 N Sun Shimmer Ave
Meridian
ID 83646-5536
Practice Telephone 2083514640
Mailing Telephone 2083514640
Enumeration Date 2020-09-14
Last Update Date 2020-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered D-626 ID Dietary & Nutritional Service Providers

Office Location

Street Address 5424 N SUN SHIMMER AVE
City MERIDIAN
State ID
Zip Code 83646-5536

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982202743 Jayson Paul Smith Nurse Practitioner 1545 East Leighfield Dr., Meridian, ID 83646 2020-10-14
1356977466 Tanabell Health Services Inc Assisted Living Facility 2584 E Magic View Dr, Meridian, ID 83646 2020-03-20
1801351176 Tanabell Health Services, Inc. Skilled Nursing Facility 2656 E Magicview Dr, Meridian, ID 83646 2019-01-31
1306314323 Cr Smiles - Meridian Dental Care LLC Clinic/Center 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 2018-11-07
1639644107 Joseph Anomalay Counselor 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 2018-10-10
1275015950 Mcmillan Family Dental Pllc Clinic/Center 1720 W. Mcmillan, Meridian, ID 83646 2018-08-30
1609327022 Finding Home Healthcare, Inc. Clinic/Center 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 2016-10-20
1952857161 Mitchell Truong Pharmacist 622 E. Ustick Road, Caldwell, ID 83646 2016-08-28
1134511264 Brittany Laub Massage Therapist 2572 N Stokesberry Pl #300, Meridian, ID 83646 2015-02-26
1194117366 Westfall Ventures, Inc Health Maintenance Organization 2572 N. Stokesberry Pl, Meridian, ID 83646 2015-02-25
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063035004 Chrisann M Hinson Dietitian, Registered 4716 W Quaker Ridge Dr, Meridian, ID 83646-5042 2020-05-26
1609497551 Aaron Robert Calvano Dietitian, Registered 5350 N Moose Creek Ave, Meridian, ID 83646-3639 2020-05-01
1154966547 Gabrielle Boobar Dietitian, Registered 1303 E Central Dr, Meridian, ID 83642-7991 2019-11-09
1326530932 Linda Kees Dietitian, Registered 520 S Eagle Rd Ste 1223, Meridian, ID 83642-6355 2018-05-31
1457868531 Rachel Myers Dietitian, Registered 520 S Eagle Rd Ste 1229, Meridian, ID 83642-6355 2018-01-10
1366951261 Kelsea Hopkins Dietitian, Registered 868 E Ringneck St, Meridian, ID 83646-4498 2017-09-22
1104352194 Caylee Ketchum Dietitian, Registered 1098 E Winslow St, Meridian, ID 83642-4050 2017-05-11
1225562002 Callie Miller Dietitian, Registered 934 N Stonehenge Way, Meridian, ID 83642-4000 2017-04-18
1205284213 Andrea L Bailey Dietitian, Registered 5710 W Mattawa Dr, Meridian, ID 83646-7428 2016-05-31
1740600782 Chelsea Schoenfelder Dietitian, Registered 2450 E Gala St., Suite 100, Meridian, ID 83642 2014-04-17
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83646

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Dataset Information

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.

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