Active NPI
Gretchen R Witowich, MS, RD, LDN
- Registered Dietitian
- Beloit, WI
National Provider Identifier
1275776403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2978-29
- Practice address
- Beloit Clinic
1905 E. Huebbe Parkway
Beloit, WI 53511-1842 - Phone
- (608) 364-2400
- Fax
- (608) 364-1534
- NPI assigned
- Apr 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.004938 | IL | |
| Registered Dietitian | 133V00000X | 2978-29 | WI | Primary |
Addresses
Primary practice location
Beloit Clinic
1905 E. Huebbe Parkway
Beloit, WI 53511-1842
Mailing address
Beloit Health System Inc.
1905 E. Huebbe Parkway
Beloit, WI 53511-1842
Phone (608) 364-2293
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.004938 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1275776403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BELOIT HEALTH SYSTEM INC.",
"address_2": "1905 E. HUEBBE PARKWAY",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2293",
"fax_number": "608-364-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BELOIT CLINIC",
"address_2": "1905 E. HUEBBE PARKWAY",
"city": "BELOIT",
"state": "WI",
"postal_code": "535111842",
"telephone_number": "608-364-2400",
"fax_number": "608-364-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITOWICH",
"first_name": "GRETCHEN",
"middle_name": "R",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.004938",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2978-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beloit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.