JILL M ROUP RD,CSO,CD
NPI 1336124791
Dietitian, Registered in Green Bay, WI

Q: What is Jill Roup's NPI number?

The NPI number for Jill Roup is 1336124791. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Q: What is Jill Roup's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Roup was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 08, 2005

1580 COMMANCHE AVE, GREEN BAY, WI 54313(920) 435-8326(920) 430-4659 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2020, Nov 15, 2017 (2 updates tracked since 2017).

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About Jill M Roup Rd,cso,cd NPPES

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

JILL M ROUP RD,CSO,CD (NPI 1336124791) is an individual dietitian, registered in Green Bay, Wisconsin, licensed in Wisconsin (1567) and active in the NPI registry since December 2005. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336124791

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJILL M ROUPCredential: RD,CSO,CD

Location Address1580 COMMANCHE AVEGreen Bay, WI 54313-5751

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7238

Phone(920) 435-8326

Fax(920) 430-4659

Sole ProprietorNo

Enumeration DateDecember 8, 2005

Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration

✔ NPI 1336124791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in WI · 1567

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1580 COMMANCHE AVE, Green Bay, WI 54313

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Secondary Practice Locations 2

Location 11630 Commanche AveGreen Bay, WI 54313-5753 · Phone (920) 430-4750

Location 22820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225 · Fax (715) 735-5388

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

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Other Providers at the Same Location NPPES 20

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

DR. KEVIN L MORTARA MD

Internal Medicine (Hematology & Oncology)