Abbey Bubolz, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2337 Issued in WI

Practice address

4311 Country LN
Manitowoc, WI 54220-0701

Phone

(920) 860-6126

NPI assigned

Jul 6, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Holy Family Memorial Inc

  • General Acute Care Hospital
  • Manitowoc, WI
  • NPI 1700998697
  NPD (past)
• Lakeshore Radiology Associates SC

  • Diagnostic Radiology Physician
  • Manitowoc, WI
  • NPI 1346265915
  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1356724686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 COUNTRY LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542200701",
            "telephone_number": "920-860-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 COUNTRY LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542200701",
            "telephone_number": "920-860-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBOLZ",
        "first_name": "ABBEY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Breaker, LAT, ATC, PES
• Blake Bredeson, DC
• Emilie Brienen, M.S. CCC-SLP
• Heather Marie Bruckschen, LPC, CSAC
• Brittany Nicole Bryan
• Victoria Bubolz
• Katie Marie Buchholz, O.D.
• Donna Buechner, NPC
• Jon W Buggs, CRNA
• April Marie Buhr, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.