Jennifer Ann Burczyk

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

S51W30503 Walnut St
Mukwonago, WI 53149-8709

Phone

(414) 795-8188

NPI assigned

Nov 10, 2023

Last updated

Nov 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1326812264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S51W30503 WALNUT ST",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498709",
            "telephone_number": "414-795-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S51W30503 WALNUT ST",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531498709",
            "telephone_number": "414-795-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCZYK",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Brandt, PT
• Danielle Brooks
• Cheryl Brown
• Kathryn Brucato
• Andrew Budzynski
• Cadee Campbell
• Leslie M Cannestra
• Emily Carlton, MS, CCC-SLP
• Eric Carlton, PHARM.D., RPH
• Chiropractic Firsts.C.

• Registered Dietitian in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.