Individual provider Active NPI

Andrew Conrad Senger, RD, LDN

  • Registered Dietitian
  • Milwaukee, WI
National Provider Identifier
1154946226
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86033393 Issued in IL
Practice address
2266 N Prospect Ave Ste 304
Milwaukee, WI 53202-6306
Phone
(815) 245-1434
NPI assigned
Jun 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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 86033393 IL Primary

Addresses

Primary practice location

2266 N Prospect Ave Ste 304
Milwaukee, WI 53202-6306

Mailing address

7757 Van Buren St Unit 415
Forest Park, IL 60130-4811
Phone (815) 245-1434

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

LicenseStateTypeSpecialty
86033393ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1154946226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7757 VAN BUREN ST UNIT 415",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601304811",
            "telephone_number": "815-245-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE STE 304",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026306",
            "telephone_number": "815-245-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGER",
        "first_name": "ANDREW",
        "middle_name": "CONRAD",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "86033393",
            "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 Jun 14, 2020; 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.