Active NPI
Emma Marie Gellerstedt, RDN
- Registered Dietitian
- Madison, WI
National Provider Identifier
1619691912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5028-29
- Practice address
- 621 Science Dr
Madison, WI 53711-1074 - Phone
- (608) 265-8303
- NPI assigned
- Sep 29, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5028-29 | WI | Primary |
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
621 Science Dr
Madison, WI 53711-1074
Mailing address
321 Wisconsin Ave Apt 4
Madison, WI 53703-4110
Phone (309) 781-7154
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5028-29 | Other | WI | STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
| 86253882 | Other | IA | COMMISSION ON DIETETIC REGISTRATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | egellerstedt@uwhealth.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5028-29 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1619691912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 WISCONSIN AVE APT 4",
"city": "MADISON",
"state": "WI",
"postal_code": "537034110",
"telephone_number": "309-781-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SCIENCE DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537111074",
"telephone_number": "608-265-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLERSTEDT",
"first_name": "EMMA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-29",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "5028-29",
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
"identifier": "5028-29",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86253882",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "egellerstedt@uwhealth.org",
"affiliation": "N",
"endpointDescription": "Work Email",
"address_1": "621 Science Dr",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537111074",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.