Active NPI
Mary Jo Coleman
- Registered Dietitian
- Richland Center, WI
National Provider Identifier
1326199985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1769
- Practice address
- 333 E 2ND St
Richland Center, WI 53581-1914 - Phone
- (608) 647-6321
- NPI assigned
- Jan 12, 2007
- Last updated
- Jul 8, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1769 | WI | Primary |
Addresses
Primary practice location
333 E 2ND St
Richland Center, WI 53581-1914
Mailing address
333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1769 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326199985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E 2ND ST",
"city": "RICHLAND CENTER",
"state": "WI",
"postal_code": "535811914",
"telephone_number": "608-647-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E 2ND ST",
"city": "RICHLAND CENTER",
"state": "WI",
"postal_code": "535811914",
"telephone_number": "608-647-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MARY JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "1769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland Center, WI
- Center Optical, Inc. (Pioneer Optical)
- David E Chakoian, M.D.
- Andrea Kristin Cherry, PA-C
- Thomas James Chitwood, DDS
- Jessica Clark-Gomez
- Corcoran Healthcare ENT Inc (Richland Family Prescription Center)
- Corcoran Healthcare Enterprises Inc (Richland Family Prescription Center)
- Paul F Corcoran Jr.
- County of Richland (Richland County Health and Human Services)
- County of Richland (Pine Valley Community Village)
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.