Individual provider Active NPI

Jammie Schrab

  • Registered Dietitian
  • Milwaukee, WI
National Provider Identifier
1467820464
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2772 Issued in WI
Practice address
1220 Dewey Ave
Milwaukee, WI 53213-2504
Phone
(414) 464-6683
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2772 WI Primary

Addresses

Primary practice location

1220 Dewey Ave
Milwaukee, WI 53213-2504

Mailing address

N69W6855 Bridge Rd
Unit #2
Cedarburg, WI 53012-1869
Phone (414) 688-7282

Other names 1

  • Jammie Wafle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103001162 WI Practitioner - Registered Dietitian Or Nutrition Professional 1557759057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Oct 4, 2021 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Oct 4, 2021 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1220 Dewey Ave
Wauwatosa, WI 53213
Phone (414) 454-6600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1467820464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N69W6855 BRIDGE RD",
            "address_2": "UNIT #2",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121869",
            "telephone_number": "414-688-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 DEWEY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532132504",
            "telephone_number": "414-464-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAB",
        "first_name": "JAMMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMMIE",
            "last_name": "WAFLE",
            "credential": "RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.