Active NPI
Elizabeth Riesen, R.D.
- Registered Dietitian
- Menomonee Falls, WI
National Provider Identifier
1326584566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1065583
- Practice address
- W200N9459 Woodside LN
Menomonee Falls, WI 53051-1228 - Phone
- (414) 640-3221
- NPI assigned
- Jan 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 1065583 | WI | Primary |
Addresses
Primary practice location
W200N9459 Woodside LN
Menomonee Falls, WI 53051-1228
Mailing address
W200N9459 Woodside LN
Menomonee Falls, WI 53051-1228
Phone (414) 640-3221
Other names 1
- Elizabeth Serchen
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1065583 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1326584566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W200N9459 WOODSIDE LN",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530511228",
"telephone_number": "414-640-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W200N9459 WOODSIDE LN",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530511228",
"telephone_number": "414-640-3221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESEN",
"first_name": "ELIZABETH",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "1065583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SERCHEN",
"credential": "R.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Menomonee Falls, WI
- Werner Richheimer, DDS
- Julie Lewis Rickert, PSYD
- Ridgeview Dental Group SC
- Riesch Surgical Science LLC
- Terrence John Riesch, D.D.S.
- Susan Anntoinette Ringle, MS, LPC, LPCC
- Robert Risinger, MD
- Mary L Rittler, PT
- Riverside Family Dental
- Riverview Village Senior Living, Inc. (Riverview Village Senior Living)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.