Individual provider Active NPI

Karen Sue Tait I, D.T. (DIETETIC TECH)

  • Nutritionist
  • Glendale, WI
National Provider Identifier
1053622746
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Practice address
434 W River Front Dr
Glendale, WI 53217-4459
Phone
(414) 881-1206
NPI assigned
Jun 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X WI Primary

Addresses

Primary practice location

434 W River Front Dr
Glendale, WI 53217-4459

Mailing address

434 W River Front Dr
Glendale, WI 53217-4459
Phone (414) 962-8881

Other names 1

  • Ms. Karen Sue Schneiderhan I Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1053622746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W RIVER FRONT DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174459",
            "telephone_number": "414-962-8881",
            "fax_number": "414-962-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W RIVER FRONT DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174459",
            "telephone_number": "414-881-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIT",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_suffix": "I",
        "credential": "D.T. (DIETETIC TECH)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "SCHNEIDERHAN",
            "middle_name": "SUE",
            "prefix": "MS.",
            "suffix": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.