Active NPI
Kaitlyn Niebur
- Registered Dietitian
- Durand, WI
National Provider Identifier
1447062047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86087217
- Practice address
- 1220 3Rd Ave W
Durand, WI 54736-1600 - Phone
- (715) 672-4211
- NPI assigned
- Jan 22, 2025
- Last updated
- Jan 22, 2025
- 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 | 86087217 | WI | Primary |
Addresses
Primary practice location
1220 3Rd Ave W
Durand, WI 54736-1600
Mailing address
N499 County Road D
Eau Galle, WI 54737-9507
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86087217 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1447062047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N499 COUNTY ROAD D",
"city": "EAU GALLE",
"state": "WI",
"postal_code": "547379507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 3RD AVE W",
"city": "DURAND",
"state": "WI",
"postal_code": "547361600",
"telephone_number": "715-672-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEBUR",
"first_name": "KAITLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "86087217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durand, WI
- McKenzie Lehnartz LLC (Rolling Hills Chiropractic and Wellness)
- McKenzie Lehnartz LLC (Rolling Hills Chiropractic & Wellness)
- Anton P. Mentele, CRNA
- Wayne J Miller, DDS
- Tony R Morris, OD
- Patriot Healthcare LLC
- Pepin County (Pepin County Department of Human Services)
- Pepin County (Pepin County Human Services)
- Pepin County (Pepin County Nursing Service)
- Pepin County Aging and Disability Resource Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.