Kathryn Elizabeth Braaten, RDN, CD, CDCES, CLS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

726-029 Issued in WI

Practice address

N6520 Lumberjack Guy Rd
Black River Falls, WI 54615-5405

Phone

(715) 284-9851

Fax

(715) 284-5150

NPI assigned

May 9, 2007

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Elizabeth Waldburger Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ho Chunk NationGroup PAC ID 5496709867, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ho-Chunk Nation

  dba Ho-Chunk Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Black River Falls, WI
  • NPI 1407911795
  Medicare reassignment Care Compare group NPD
• Ho Chunk Nation

  dba HO CHUNK NATION d/b/a House of Wellness

  • Federally Qualified Health Center (FQHC)
  • Baraboo, WI
  • NPI 1316002694
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1346454428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6520 LUMBERJACK GUY RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155405",
            "telephone_number": "715-284-9851",
            "fax_number": "715-284-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6520 LUMBERJACK GUY RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155405",
            "telephone_number": "715-284-9851",
            "fax_number": "715-284-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAATEN",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RDN, CD, CDCES, CLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "726-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "WALDBURGER",
            "middle_name": "ELIZABETH",
            "credential": "RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Black River Health Inc (Krohn Clinic)
• Black River Health Inc
• Black River Memorial Hospital Inc
• Black River Memorial Hospital Inc
• Christopher Bommer
• BRF Nursing and Rehab LLC (Meadowbrook at Black River Falls)
• James Gabriel Buel, PHARMD
• Sarah June Busse, MD
• Etson Cameron, M.D.
• Valerie Miranda Carrimon, SAC-IT

• Registered Dietitian in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.