Active NPI
Shannon Nicole Pieronek, M.S., R.D., C.D.
- Registered Dietitian
- Milwaukee, WI
National Provider Identifier
1124463559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 00977230
- Practice address
- 5015 W Burleigh St
Milwaukee, WI 53210-1662 - Phone
- (414) 874-4116
- Fax
- (414) 874-4507
- NPI assigned
- Apr 29, 2013
- 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 | 00977230 | WI | Primary |
Addresses
Primary practice location
5015 W Burleigh St
Milwaukee, WI 53210-1662
Mailing address
N53W21948 Redbud LN
Menomonee Falls, WI 53051-6275
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00977230 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1124463559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N53W21948 REDBUD LN",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530516275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 W BURLEIGH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532101662",
"telephone_number": "414-874-4116",
"fax_number": "414-874-4507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERONEK",
"first_name": "SHANNON",
"middle_name": "NICOLE",
"credential": "M.S., R.D., C.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-29",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "00977230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.