Organization Active NPI

Laura Dolfin Nutrition Consulting LLC

  • Registered Dietitian
  • Oostburg, WI
National Provider Identifier
1003143322
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2048-029 Issued in WI
Legal business name
LAURA DOLFIN NUTRITION CONSULTING LLC
Practice address
220 S Business Park Dr Ste A4
Oostburg, WI 53070-1586
Phone
(920) 912-1007
NPI assigned
Nov 6, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Mrs. Laura Mae Dolfin, RD, CDNPI 1720211345
Title
Owner
Phone
(920) 912-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 2048-029 WI Primary

Addresses

Primary practice location

220 S Business Park Dr Ste A4
Oostburg, WI 53070-1586

Mailing address

PO Box 65
Hingham, WI 53031-0065
Phone (920) 912-1007

National Provider Directory

National Provider Directory

Locations

114 N 9th St
Ste 3
Oostburg, WI 53070
Phone (920) 564-6501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1003143322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "HINGHAM",
            "state": "WI",
            "postal_code": "530310065",
            "telephone_number": "920-912-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S BUSINESS PARK DR STE A4",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530701586",
            "telephone_number": "920-912-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA DOLFIN NUTRITION CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "DOLFIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-912-1007",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2048-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oostburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.