Mikayla Otto, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

4708B Jeffers Rd
Eau Claire, WI 54703-9635

Phone

(715) 579-8523

NPI assigned

Jul 12, 2024

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

Enrolled in WI

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hy-Vee Health PC

  • Internal Medicine Physician
  • Madison, WI
  • NPI 1255105060
  NPD
• Hy-Vee Health PC

  • Registered Dietitian
  • Madison, WI
  • NPI 1558137406

  Dietitian, Registered

  NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1184498990
  NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • West Des Moines, IA
  • NPI 1558086637
  NPD (past)
• Wa Foote Memorial Hospital, Inc

  dba Henry Ford Allegiance Health

  • Emergency Medicine Physician
  • Jackson, MI
  • NPI 1265487722
  NPD (past)

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1386481729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708B JEFFERS RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708B JEFFERS RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039635",
            "telephone_number": "715-579-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "MIKAYLA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Ostrowski, LPC
• Jessica Lynn Ostrowski
• Richard Oswald Jr., LPC
• Margaret Ann Ott, RPH
• James A Ottevaere II, M.D.
• Carly L Overgard, APNP, FNP-C
• Erin Jane Owens, APSW
• Teresa A Owens, NP
• Jackelyn Laura Padjen, NP
• James H Pagel, LPC

• Registered Dietitian in Eau Claire, WI
• Providers in Eau Claire, 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 12, 2024; 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.