Active NPI
Kelly Sue Essman, MS, RD, CD
- Renal Nutrition Registered Dietitian
- Waukesha, WI
National Provider Identifier
1285836676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 720418
- Practice address
- 1111 Delafield St Ste 212
Waukesha, WI 53188-3403 - Phone
- (262) 524-1024
- Fax
- (262) 524-8767
- NPI assigned
- Jun 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 720418 | WI | Primary |
Addresses
Primary practice location
1111 Delafield St Ste 212
Waukesha, WI 53188-3403
Mailing address
2301 Sun Valley Dr Ste 200
Delafield, WI 53018-2318
Phone (262) 646-6426
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720418 | WI | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285836676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 SUN VALLEY DR STE 200",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182318",
"telephone_number": "262-646-6426",
"fax_number": "262-646-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST STE 212",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883403",
"telephone_number": "262-524-1024",
"fax_number": "262-524-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSMAN",
"first_name": "KELLY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "MS, RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "WI",
"license": "720418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.