Active NPI
Laura A Wittlin, MS, RD CD
- Registered Dietitian
- Menomonee Falls, WI
National Provider Identifier
1386977882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2207-29
- Practice address
- W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518 - Phone
- (262) 257-3130
- NPI assigned
- Sep 15, 2009
- 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 | 2207-29 | WI | Primary |
Addresses
Primary practice location
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Mailing address
W144N7042 Terrace Dr
Menomonee Falls, WI 53051-0930
Phone (262) 894-0251
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2207-29 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1386977882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W144N7042 TERRACE DR",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530510930",
"telephone_number": "262-894-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W180N8085 TOWN HALL RD",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513518",
"telephone_number": "262-257-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTLIN",
"first_name": "LAURA",
"middle_name": "A",
"credential": "MS, RD CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2207-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.