Mary Radovich, MS RD CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2605-29 Issued in WI

Practice address

303 E Dover St
Milwaukee, WI 53207-2003

Phone

(773) 706-7447

NPI assigned

Dec 21, 2016

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1477098861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E DOVER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072003",
            "telephone_number": "773-706-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E DOVER ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532072003",
            "telephone_number": "773-706-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOVICH",
        "first_name": "MARY",
        "credential": "MS RD CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2605-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates of Milwaukee, S.C.
• Chad H Radke, DO
• David A Radke, D.C.
• Tanya Radke, APNP
• David Radovich, PSYD
• Megan Mae Radowski, BSN, RN
• Kristine Elizabeth Radtke Norris, R.N.
• Heather B Radtke, MS, CGC
• Tatyana Trendafilova Radulovic, FNP-BC
• Breanna Rady, OTR/L

• Registered Dietitian in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.