Kelley Michelle Encinas, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1011 N 8TH St
Sheboygan, WI 53081-4006

Phone

(920) 459-6411

NPI assigned

Dec 4, 2020

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1427653500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7126 TAMARACK CT",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530928517",
            "telephone_number": "818-825-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N 8TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814006",
            "telephone_number": "920-459-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCINAS",
        "first_name": "KELLEY",
        "middle_name": "MICHELLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Elmendorf III, OTR/L
• Nichole M Elmendorf, OTR
• Daniel Elmes, DPM
• Embracing Cares LLC
• Carol Emerick, LPN
• Linden J Engelsma, PA-C
• Jennifer A English, APNP
• Jessica L Entringer, DO
• Christopher Jay Erdman, CSAC, SW, ICS
• Sydney Erdmann, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.