OrganizationActive
Mary Rader Clinical Dietitian LLC
NPI 1225293079 · Health Service Clinic/Center · Wauwatosa, WI
Provider details
- NPI number
- 1225293079
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rader, Certified Dietitian(414) 258-2255
- License
- 827029 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
611 N Mayfair Rd
Wauwatosa, WI 53226-4248
Phone: (414) 258-2255
Street-level locationGet directions
Mailing address
611 N Mayfair Rd
Wauwatosa, WI 53226-4248
Registry dates
- Enumerated
- 2008-07-22
- Last updated
- 2008-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.