Mary Halloran, NDTR, LD

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

2570 Issued in OH

Practice address

857 Cedar Crest Dr
Elyria, OH 44035-8985

Phone

(614) 985-6567

Fax

(614) 808-3854

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1417861394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 CEDAR CREST DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440358985",
            "telephone_number": "614-985-6567",
            "fax_number": "614-808-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 CEDAR CREST DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440358985",
            "telephone_number": "614-985-6567",
            "fax_number": "614-808-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLORAN",
        "first_name": "MARY",
        "credential": "NDTR, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "OH",
            "license": "2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Cole Haefele, PA-C
• Elizabeth Signor Hall, LPN
• Roy Hall
• Sonya Maria Hall, LPN
• Dana Leigh Hallman, RN BSN
• Brittani Hamilton
• Ann Hamker, AT
• John Leroy Hammond Jr., RPH
• Kristi Dawn Hammons
• Vagesh Mahadevappa Hampole, MD

• Registered Dietetic Technician in Elyria, OH
• Providers in Elyria, OH by specialty
• Registered Dietetic Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.