Colette Wyttenbach, RD, CD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

515 22ND Ave
Monroe, WI 53566-1569

Phone

(608) 324-2770

Fax

(608) 324-2469

NPI assigned

Jan 31, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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.

• The Monroe Clinic, Inc.

  • Specialist
  • Monroe, WI
  • NPI 1386720548
  Medicare reassignment NPD
• The Monroe Clinic, Inc.

  • General Acute Care Hospital
  • Monroe, WI
  • NPI 1740291491
  NPD
• The Monroe Clinic, Inc.

  • Family Medicine Physician
  • Freeport, IL
  • NPI 1831254036
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467599381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 13TH ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535662247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2770",
            "fax_number": "608-324-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYTTENBACH",
        "first_name": "COLETTE",
        "name_prefix": "Mrs.",
        "credential": "RD, CD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43490400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Wittmann
• Dylan Wittmann, ATC
• Donna Lynne Wolfe, NP
• Sheri Beth Wong, AGPCNP-BC
• Shirley Wortham
• Michael Kai-Hua Yeh, MD
• Elisabeth A. Zgraggen, FNP
• Kayla Zimdars, CCC-SLP
• Angela A Zimmerman

• Registered Dietitian in Monroe, WI
• Providers in Monroe, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.