Valeria Kolison

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1049 Issued in TN

Practice address

5710 Sandhill Dr
Middleton, WI 53562-5249

Phone

(615) 415-2789

Fax

(608) 203-5461

NPI assigned

May 13, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Valeria Purnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1649658477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 SANDHILL DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625249",
            "telephone_number": "615-415-2789",
            "fax_number": "608-203-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 SANDHILL DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625249",
            "telephone_number": "615-415-2789",
            "fax_number": "608-203-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLISON",
        "first_name": "VALERIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2393-29",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIA",
            "last_name": "PURNELL",
            "credential": "R.D., C.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy A Klein, O.D.
• Andrea Klopp
• Gregory J Koehler, LCSW
• Matthew Koester, DPT
• Karen Ann Kohls, PT
• Emily Komoroske, P.T.
• Kelsey Leigh Kornaus, OTR
• Steven S Koslov, MD
• Brent David Kowalke, D.C.
• Joellen Marie Kozlowski, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.