Katie Elizabeth Zunker, RDN, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3595-29 Issued in WI

Practice address

2395 S Oneida St Ste 100
Ashwaubenon, WI 54304-5266

Phone

(515) 695-3205

Fax

(833) 719-1241

NPI assigned

Jan 16, 2025

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

Other names 1

• Katie Elizabeth Maccoux Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Hy-Vee Health PC

  • Internal Medicine Physician
  • Madison, WI
  • NPI 1255105060
  Medicare reassignment NPD
• Hy-Vee Health PC

  • Registered Dietitian
  • Madison, WI
  • NPI 1558137406

  Dietitian, Registered

  NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1184498990
  NPD
• Hy-Vee Health PC

  • Registered Dietitian
  • Omaha, NE
  • NPI 1013783950

  Dietitian, Registered

  NPD (past)
• Hy-Vee Health PC

  • Internal Medicine Physician
  • West Des Moines, IA
  • NPI 1558086637
  NPD (past)

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1255142402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NUTMEG DRIVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "54115",
            "telephone_number": "920-265-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 S ONEIDA ST STE 100",
            "city": "ASHWAUBENON",
            "state": "WI",
            "postal_code": "543045266",
            "telephone_number": "515-695-3205",
            "fax_number": "833-719-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNKER",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "credential": "RDN, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3595-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MACCOUX",
            "middle_name": "ELIZABETH",
            "credential": "RDN, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Tadros
• Jennifer A Tischauser, LPN
• Robert J Van Dyke, DDS
• Wisconsin CVS Pharmacy LLC
• Jane A Yells, SLP CCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.