Individual provider Active NPI

Joel Thomas Hollow, RDN

  • Registered Dietitian
  • La Crosse, WI
National Provider Identifier
1659096915
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3866 Issued in WI
Practice address
3717 Mormon Coulee Rd Apt 108
La Crosse, WI 54601-3885
Phone
(262) 939-9914
NPI assigned
Oct 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3866 WI Primary

Addresses

Primary practice location

3717 Mormon Coulee Rd Apt 108
La Crosse, WI 54601-3885

Mailing address

3717 Mormon Coulee Rd Apt 108
La Crosse, WI 54601-3885
Phone (262) 939-9914

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3866WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Joel Hollow, Rd LD Dietitian, Registered CurrentSince Mar 11, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1659096915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 MORMON COULEE RD APT 108",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013885",
            "telephone_number": "262-939-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MORMON COULEE RD APT 108",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013885",
            "telephone_number": "262-939-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOW",
        "first_name": "JOEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.