Active NPI
Cassandra Lynn Sova Walia, MS, RD, CD
- Registered Dietitian
- Milwaukee, WI
National Provider Identifier
1568345502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2251-29
- Practice address
- 3365 S 103Rd St Ste 100
Milwaukee, WI 53227-4162 - Phone
- (414) 266-4948
- NPI assigned
- Jul 28, 2025
- Last updated
- Jul 28, 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 | 2251-29 | WI | Primary |
Addresses
Primary practice location
3365 S 103Rd St Ste 100
Milwaukee, WI 53227-4162
Mailing address
8915 W Connell Ave
Milwaukee, WI 53226-3067
Phone (414) 266-4948
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2251-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1790732410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1568345502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8915 W CONNELL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263067",
"telephone_number": "414-266-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3365 S 103RD ST STE 100",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274162",
"telephone_number": "414-266-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIA",
"first_name": "CASSANDRA",
"middle_name": "LYNN SOVA",
"credential": "MS, RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2251-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 28, 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.