Active NPI
Terryann Chrudimsky, LDN
- Registered Dietitian
- Madison, WI
National Provider Identifier
1356652366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 164-005286
- Practice address
- 345 W Washington Ave
Madison, WI 53703-2996 - Phone
- (608) 417-8300
- NPI assigned
- Jun 24, 2010
- 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 | 164-005286 | IL | Primary |
Addresses
Primary practice location
345 W Washington Ave
Madison, WI 53703-2996
Mailing address
202 S Park St
Madison, WI 53715-1507
Phone (608) 417-3817
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 |
|---|---|---|---|
| 164-005286 | IL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1356652366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507",
"telephone_number": "608-417-3817",
"fax_number": "608-417-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 W WASHINGTON AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537032996",
"telephone_number": "608-417-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRUDIMSKY",
"first_name": "TERRYANN",
"credential": "LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164-005286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.