Active NPI
Julie Ann Luedtke, RD, CD
- Registered Dietitian
- Rice Lake, WI
National Provider Identifier
1093897134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 664882
- Practice address
- 315 Hilltop Dr
Rice Lake, WI 54868-1850 - Phone
- (715) 234-7245
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 664882 | WI | Primary |
Addresses
Primary practice location
315 Hilltop Dr
Rice Lake, WI 54868-1850
Mailing address
315 Hilltop Dr
Rice Lake, WI 54868-1850
Phone (715) 234-7245
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 664882 | Other | WI | REGISTERED DIETITIAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 664882 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093897134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 HILLTOP DR",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681850",
"telephone_number": "715-234-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 HILLTOP DR",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681850",
"telephone_number": "715-234-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEDTKE",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "664882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED DIETITIAN",
"identifier": "664882",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.