Active NPI
Kayla Mortell, RD, CD
- Registered Dietitian
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6074
- Practice address
- 2400 E Capitol Dr
Appleton, WI 54911-8728 - Phone
- (920) 454-3114
- NPI assigned
- May 5, 2025
- 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 | 6074 | WI | Primary |
Addresses
Primary practice location
2400 E Capitol Dr
Appleton, WI 54911-8728
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900
Other practice location 1
130 2nd St
Neenah, WI 54956-2883
Phone (920) 422-8537
Other practice location 2
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 422-8537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3 Neenah Ctr
Neenah, WI 54956-3070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6074 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
2400 E Capitol Dr
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1356130488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-830-5900",
"fax_number": "920-830-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 E CAPITOL DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118728",
"telephone_number": "920-454-3114"
}
],
"practiceLocations": [
{
"address_1": "130 2nd St",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549562883",
"country_code": "US",
"telephone_number": "920-422-8537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-422-8537",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORTELL",
"first_name": "KAYLA",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-05",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "6074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.