Kristine Benusa, R.D.
Individual provider Active NPI Registered Dietitian · Whitehall, WI
NPI 1487973681 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1487973681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 809073 (WI)
- Practice address
- 18601 Lincoln St
Whitehall, WI 54773-8605 - Phone
- (715) 538-4361
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 809073 | WI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 809073 | WI | Yes |
Addresses
Primary practice location
18601 Lincoln St
Whitehall, WI 54773-8605
Mailing address
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001 | Other | WI | WPS/MEDICARE PART B |
| P47127 | Other | WI | UPIN |
Other providers in Whitehall, WI
- Rebecca Kathleen Albrecht
- Brianna L Amundson
- Daniel R Backman
- Erin Irene Basel
- Kari Marie Baumel
- Nicole Lestencia Bjerke
- Kathy Ann Boe
- Briana M Braunschweig
- Kimberly Breidenbach
- Lisa Brooks
All providers in Whitehall, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.