Carly Duerst, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

W6068 Pioneer Rd
New Glarus, WI 53574-9735

Phone

(608) 512-6398

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1194336669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W6068 PIONEER RD",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749735",
            "telephone_number": "608-512-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W6068 PIONEER RD",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "535749735",
            "telephone_number": "608-512-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERST",
        "first_name": "CARLY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridges Consultation and Treatment
• Timothy Lee Buechner
• Sara Burke
• Kathy Chao
• Sara Lynn Dodsworth, COTA/L
• Patricia Jo Dunwiddie
• Sarah Elisa Endicott, MSN, GNP
• Radhika Flannery
• Eric C Gebhart, B.S., CSAC
• John Nicholas Gietzen, D.O.

• Registered Dietitian in New Glarus, WI
• Providers in New Glarus, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.