MARY RADER CLINICAL DIETITIAN LLC
NPI 1225293079
Clinic/Center - Health Service in Wauwatosa, WI

Q: What is Mary Rader Clinical Dietitian LLC's NPI number?

The NPI number for Mary Rader Clinical Dietitian LLC is 1225293079. It was assigned to this organization in the NPPES registry on July 22, 2008.

Q: What is Mary Rader Clinical Dietitian LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since July 22, 2008

611 N MAYFAIR RD, WAUWATOSA, WI 53226(414) 258-2255 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Rader Clinical Dietitian Llc NPPES

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

MARY RADER CLINICAL DIETITIAN LLC (NPI 1225293079) is a healthcare organization registered as a health service in Wauwatosa, Wisconsin and active in the NPI registry since July 2008. The organization lists Mary Rader, Certified Dietitian, as its authorized official.

NPPES Registry Identity

NPI1225293079

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameMARY RADER CLINICAL DIETITIAN LLC

Location Address611 N MAYFAIR RDWauwatosa, WI 53226-4248

Mailing Address611 N Mayfair RdWauwatosa, WI 53226-4248 · (414) 258-2255

Phone(414) 258-2255

Organization SubpartNo

Authorized OfficialMary RaderCertified Dietitian · (414) 258-2255

Enumeration DateJuly 22, 2008

Last NPPES UpdateSeptember 12, 2008

✔ NPI 1225293079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

License✔ Licensed in WI · 827029

611 N MAYFAIR RD, Wauwatosa, WI 53226

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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.

MARY RADER

Nutritionist (Nutrition, Education)

611 N MAYFAIR RD
WAUWATOSA, WI 53226

Milwaukee County (414) 258-2255

MS. JANICE A GNAS MS.MBA.LPC.NCC.BCC

Counselor (Professional)

611 N MAYFAIR RD, UPPER LEVEL
MILWAUKEE, WI 53226

Milwaukee County (414) 704-2104

STAR CONSULTING & ASSOCIATES, LLC, STAR CONSULTING FOR THE WORKPLACE

Counselor (Professional)

611 N MAYFAIR RD, UPPER LEVEL
MILWAUKEE, WI 53226

Milwaukee County (414) 704-2104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Rader Clinical Dietitian LLC's NPI number?

The NPI number for Mary Rader Clinical Dietitian LLC is 1225293079. It was assigned to this organization in the NPPES registry on July 22, 2008.

Where is Mary Rader Clinical Dietitian LLC located?

Mary Rader Clinical Dietitian LLC is located at 611 N Mayfair Rd, Wauwatosa, WI 53226. The listed phone number is (414) 258-2255.

What is Mary Rader Clinical Dietitian LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Mary Rader Clinical Dietitian LLC was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.