Casey Mitchell, M.S., R.D., C.D.
Individual provider Active NPI Registered Dietitian · Bowler, WI
NPI 1053854885 · NPPES record last updated Nov 28, 2016
Key facts
- NPI
- 1053854885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 3052-29 (WI)
- Practice address
- W12802 County Road a
Bowler, WI 54416-9551 - Phone
- (715) 793-5006
- NPI assigned
- Nov 28, 2016
- 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)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3052-29 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3052-29 | WI | Yes |
Addresses
Primary practice location
W12802 County Road a
Bowler, WI 54416-9551
Mailing address
W12802 County Road a
Bowler, WI 54416-9551
Phone (715) 793-5006
Other providers in Bowler, WI
- Michelle Lynn Hirst
- Brianna Hopp
- Katie Kaczmarski
- Michael Saul Lundin
- Marlene B Miller
- Megan Elizabeth Moede
- Lisa Mohawk
- Toni L Montez
- Jane Martha Morrow
- Mary Rose Murray
All providers in Bowler, 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 Nov 28, 2016. 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.