Individual provider Active NPI

Meghann Reetz-Norton, MPH, RD, CSOWM, CD

  • Registered Dietitian
  • Milwaukee, WI
National Provider Identifier
1366893901
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2623-29 Issued in WI
Practice address
5000 W National Ave
Milwaukee, WI 53295-5855
Phone
(414) 384-2000
NPI assigned
Jun 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X 00994518 WI
Registered Dietitian 133V00000X 2623-29 WI Primary

Addresses

Primary practice location

5000 W National Ave
Milwaukee, WI 53295-5855

Mailing address

3900 W Ontonagon LN
Green Bay, WI 54301-1098

Other practice location 1

3900 W Ontonagon Ln
Green Bay, WI 54301-1098
Phone (920) 977-2780

Other practice location 2

2851 University Ave
Green Bay, WI 54311-5855
Phone (920) 431-2500

Other names 1

  • Meghann Reetz Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2623-29WIMDRegistered Dietitian
00994518WIMDObesity and Weight Management Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1366893901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W ONTONAGON LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W NATIONAL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532955855",
            "telephone_number": "414-384-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 W Ontonagon Ln",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543011098",
            "country_code": "US",
            "telephone_number": "920-977-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2851 University Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543115855",
            "country_code": "US",
            "telephone_number": "920-431-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REETZ-NORTON",
        "first_name": "MEGHANN",
        "credential": "MPH, RD, CSOWM, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2024-04-01",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "WI",
            "license": "00994518",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2623-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHANN",
            "last_name": "REETZ",
            "credential": "MPH, RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.