Kristina Lea Penniston, R.D., PH.D

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1444-029 Issued in WI

Practice address

600 Highland Ave
F4/320 Clinical Science Center
Madison, WI 53792-3236

Phone

(608) 265-9797

Fax

(608) 262-6453

NPI assigned

Dec 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• University of Wisconsin Medical Foundation, Inc

  • Multi-Specialty Clinic/Center
  • Middleton, WI
  • NPI 1598784555
  Medicare reassignment NPD
• University of Wisconsin Medical Foundation, Inc

  • Health Educator
  • Madison, WI
  • NPI 1487414082
  NPD

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1184953267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "F4/320 CLINICAL SCIENCE CENTER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537923236",
            "telephone_number": "608-265-9797",
            "fax_number": "608-262-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNISTON",
        "first_name": "KRISTINA",
        "middle_name": "LEA",
        "credential": "R.D., PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1444-029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RD, PHD",
            "identifier": "1444-029",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devon Penn
• Lauren Penn, MD
• Michael Li Pennella, MD
• John D. Penner, M.D.
• Ruby G Pennewell Battaglia, PA
• Jon Fredrick Pennycuff, MD
• Noelle Penshorn
• Haley Pentecost
• Jennifer Pentinmaki
• Jennifer Louise Penzotti, M.D.

• Registered Dietitian in Madison, WI
• Providers in Madison, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.