MRS. MARY BETH LAROCK R.D.
NPI 1093836025
Dietitian, Registered - Nutrition, Renal in Waukesha, WI

Active since April 03, 2007
1111 DELAFIELD ST STE 212, WAUKESHA, WI 53188(262) 524-1024(262) 524-8767 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Mary Beth Larock R.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY BETH LAROCK R.D. (NPI 1093836025) is an individual nutrition, renal provider in Waukesha, Wisconsin, licensed in Wisconsin (R528717) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1093836025
Entity TypeIndividualFemale
Primary Taxonomy133VN1005X
Provider Legal NameMRS. MARY BETH LAROCKCredential: R.D.
Location Address1111 DELAFIELD ST STE 212Waukesha, WI 53188-3403
Mailing Address2301 Sun Valley Dr Ste 200Delafield, WI 53018-2318 · (262) 646-6426 · Fax (262) 646-2498
Fax(262) 524-8767
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1093836025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
License Licensed in WI · R528717
Definition

An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

1111 DELAFIELD ST STE 212, Waukesha, WI 53188

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered (Nutrition, Renal)
1111 DELAFIELD ST STE 212
WAUKESHA, WI 53188
Optometrist
1111 DELAFIELD ST STE 212
WAUKESHA, WI 53188
Optometrist
1111 DELAFIELD ST STE 212
WAUKESHA, WI 53188

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093836025, enumerated as an "individual" on April 03, 2007.

The provider is located at 1111 DELAFIELD ST STE 212 WAUKESHA, WI 53188 and the phone number is (262) 524-1024.

Dietitian, Registered with taxonomy code 133VN1005X and a focus in Nutrition, Renal.