Individual provider Active NPI

Heather J Schuette

  • Registered Dietitian
  • Weston, WI
National Provider Identifier
1134397458
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1874-029 Issued in WI
Practice address
3301 Cranberry Blvd
Weston, WI 54476-5216
Phone
(715) 393-3900
Fax
(715) 393-3927
NPI assigned
Feb 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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 1874-029 WI Primary

Addresses

Primary practice location

3301 Cranberry Blvd
Weston, WI 54476-5216

Mailing address

3301 Cranberry Blvd
Weston, WI 54476-5216
Phone (715) 393-3900

Other identifiers 1

IdentifierTypeStateIssuer
1874-029OtherWISTATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
1874-029WIMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1134397458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 CRANBERRY BLVD",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765216",
            "telephone_number": "715-393-3900",
            "fax_number": "715-393-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 CRANBERRY BLVD",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765216",
            "telephone_number": "715-393-3900",
            "fax_number": "715-393-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUETTE",
        "first_name": "HEATHER",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1874-029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1874-029",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.