Individual provider Active NPI

Katie Jo Hartung, MS, RD

  • Registered Dietitian
  • Durand, WI
National Provider Identifier
1083187272
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86024510 Issued in WI
Practice address
1220 3Rd Ave W
Durand, WI 54736-1600
Phone
(715) 672-4211
Fax
(715) 672-5989
NPI assigned
Jan 10, 2019
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86024510 WI Primary

Addresses

Primary practice location

1220 3Rd Ave W
Durand, WI 54736-1600

Mailing address

1220 3Rd Ave W
Durand, WI 54736-1600
Phone (715) 672-4211

Other names 1

  • Katie Norrish 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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86024510WIMDRegistered Dietitian
3541WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1083187272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 3RD AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361600",
            "telephone_number": "715-672-4211",
            "fax_number": "715-672-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 3RD AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361600",
            "telephone_number": "715-672-4211",
            "fax_number": "715-672-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTUNG",
        "first_name": "KATIE",
        "middle_name": "JO",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "86024510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "NORRISH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durand, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.