Active NPI
Amanda Zagrodnik, CNS
- Nutritionist
- Milwaukee, WI
National Provider Identifier
1689498115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 18998
- Practice address
- 10341 W Vera Ave
Milwaukee, WI 53224-4441 - Phone
- (262) 215-6788
- NPI assigned
- Nov 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 18998 | WI | Primary |
Addresses
Primary practice location
10341 W Vera Ave
Milwaukee, WI 53224-4441
Mailing address
PO Box 1843
Brookfield, WI 53008-1843
Phone (262) 215-6788
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18998 | WI | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1689498115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1843",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530081843",
"telephone_number": "262-215-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10341 W VERA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532244441",
"telephone_number": "262-215-6788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAGRODNIK",
"first_name": "AMANDA",
"credential": "CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-12",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "WI",
"license": "18998",
"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 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.