Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARY HALLORAN NDTR, LD
NPI 1417861394
Dietetic Technician, Registered in Elyria, OH

Active since September 29, 2026
857 CEDAR CREST DR, ELYRIA, OH 44035(614) 985-6567(614) 808-3854 Get Directions Write a Review

NPPES record added: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Halloran Ndtr, Ld NPPES

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

MARY HALLORAN NDTR, LD (NPI 1417861394) is an individual dietetic technician, registered in Elyria, Ohio, licensed in Ohio (2570) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1417861394
Entity TypeIndividualFemale
Primary Taxonomy136A00000X
Provider Legal NameMARY HALLORANCredential: NDTR, LD
Location Address857 CEDAR CREST DRElyria, OH 44035-8985
Mailing Address857 Cedar Crest DrElyria, OH 44035-8985 · (614) 985-6567 · Fax (614) 808-3854
Fax(614) 808-3854
Sole ProprietorYes
Enumeration DateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1417861394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietetic Technician, RegisteredDietary & Nutritional Service Providers
Taxonomy Code136A00000X
License✔ Licensed in OH · 2570
Definition
A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or established by CDR, the nature of which are dependent upon the level of academic degree obtained. The scope of practice of the NDTR focuses on food, nutrition, and dietetics practice, as well as related services. NDTRs work under the supervision of a Registered Dietitian Nutritionist (RDN) when in direct patient/client nutrition care, and may work independently in providing general nutrition education to healthy populations. Patient/client populations include individuals receiving individualized care who have medical conditions or diseases, as well as at-risk individuals receiving personalized nutrition guidance as part of preventive health care.
857 CEDAR CREST DR, Elyria, OH 44035

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 Halloran's NPI number?

The NPI number for Mary Halloran is 1417861394. It was assigned to this individual provider in the NPPES registry on September 29, 2026.

Where is Mary Halloran located?

Mary Halloran practices at 857 Cedar Crest Dr, Elyria, OH 44035. The listed phone number is (614) 985-6567.

What is Mary Halloran's specialty?

The primary specialty registered for this NPI is Dietetic Technician, Registered with taxonomy code 136A00000X.

When was this NPI record last updated?

The NPPES record for Mary Halloran was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.