NPIMap

Organization Active NPI

Strategic Wellness, LLC

  • Registered Dietitian
  • Glendale, WI
National Provider Identifier
1225292600
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
556029 Issued in WI
Legal business name
STRATEGIC WELLNESS, LLC
Practice address
7601 N Longview Dr
Glendale, WI 53209-1837
Phone
(414) 840-6726
Fax
(414) 228-1347
NPI assigned
Jul 15, 2008
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Ms. Jan Marie Howard, MS, RD, CD
Title
Owner
Phone
(414) 840-6726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 556029 WI Primary

Addresses

Primary practice location

7601 N Longview Dr
Glendale, WI 53209-1837

Mailing address

7601 N Longview Dr
Glendale, WI 53209-1837
Phone (414) 840-6726

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1225292600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 N LONGVIEW DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532091837",
            "telephone_number": "414-840-6726",
            "fax_number": "414-228-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 N LONGVIEW DR",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532091837",
            "telephone_number": "414-840-6726",
            "fax_number": "414-228-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-840-6726",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RD, CD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "556029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.