Active NPI
Jessica Micoley
- Registered Dietitian
- Greenville, WI
National Provider Identifier
1477476646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86375783
- Practice address
- W6347 Boonesborough Dr
Greenville, WI 54942-8572 - Phone
- (920) 841-5641
- NPI assigned
- Aug 3, 2026
- 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 | 86375783 | WI | Primary |
Addresses
Primary practice location
W6347 Boonesborough Dr
Greenville, WI 54942-8572
Mailing address
W6347 Boonesborough Dr
Greenville, WI 54942-8572
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1477476646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W6347 BOONESBOROUGH DR",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549428572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W6347 BOONESBOROUGH DR",
"city": "GREENVILLE",
"state": "WI",
"postal_code": "549428572",
"telephone_number": "920-841-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICOLEY",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "86375783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, WI
- Julia M La Maide, RN
- Kari L Lathrop Capaul, MD
- Kasi Lee Ludwig, PHARMD
- Melissa B Matson, PT
- Methodist Manor of Waukesha, Inc. (Greenville Manor)
- Morton Drug Co Inc (Morton Pharmacy)
- Jaclyn Mullins, MD
- National Seating & Mobility, Inc.
- NCS Healthcare of Wisconsin, LLC (Omnicare of Appleton #48379)
- Aliza Olenek
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.