Rebecca M Altshull, RD
Individual provider Active NPI Registered Dietitian · Watertown, WI
NPI 1023138682 · NPPES record last updated Dec 19, 2008
Key facts
- NPI
- 1023138682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1758-029 (WI)
- Practice address
- 125 Hospital Dr
Watertown, WI 53098-3303 - Phone
- (920) 262-4784
- Fax
- (920) 262-4640
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1758 | WI | MD | Psychologist |
| 1758-029 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1758-029 | WI | Yes |
Addresses
Primary practice location
125 Hospital Dr
Watertown, WI 53098-3303
Mailing address
125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 262-4784
Other providers in Watertown, WI
- Jeannie Kaye Adams
- Kathy R. Adkins
- Advanced Family Dentistry, S.C.
- Theresa Aftyka
- Elizabeth Sharon Albanese
- Julie Patrice Amundson
- John R Anslinger
- Area Dental Associates, LLC
- Shelly Lynn Armstrong
- Aurora Medical Group Inc
All providers in Watertown, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.