Theresa Marie Tengler, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

01044099 Issued in WI

Practice address

2725 Hillside Dr Ste a
Delafield, WI 53018-2165

Phone

(262) 646-2123

NPI assigned

Oct 17, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kettle Moraine Health Center, S.C.

  • Chiropractor
  • Delafield, WI
  • NPI 1083772735
  NPD (past)

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1588949028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MADISON ST",
            "address_2": "ENTER YOUR SECOND ADDRESS",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531884627",
            "telephone_number": "262-894-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 HILLSIDE DR STE A",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182165",
            "telephone_number": "262-646-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENGLER",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "01044099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA",
            "identifier": "01044099",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Delafield, WI
• Providers in Delafield, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.