Active NPI
Kari Mizgalski, RD, CD
- Registered Dietitian
- Weston, WI
National Provider Identifier
1275915597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2252-29
- Practice address
- 3501 Cranberry Blvd
Weston, WI 54476-5213 - Phone
- (715) 393-1000
- Fax
- (715) 393-1469
- NPI assigned
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- No
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)
- Enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2252-29 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3501 Cranberry Blvd
Weston, WI 54476-5213
Mailing address
3501 Cranberry Blvd
Weston, WI 54476-5213
Phone (715) 393-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 23, 2015.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1275915597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 CRANBERRY BLVD",
"city": "WESTON",
"state": "WI",
"postal_code": "544765213",
"telephone_number": "715-393-1000",
"fax_number": "715-393-1469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 CRANBERRY BLVD",
"city": "WESTON",
"state": "WI",
"postal_code": "544765213",
"telephone_number": "715-393-1000",
"fax_number": "715-393-1469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZGALSKI",
"first_name": "KARI",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2252-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.