Lisa A Grudzielanek, MS,RD,CD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1731-029 Issued in WI

Practice address

16535 W Bluemound Rd
Brookfield, WI 53005-5936

Phone

(414) 732-4962

NPI assigned

Aug 30, 2006

Last updated

Jan 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wheaton Franciscan Healthcare - Elmbrook Memorial, Inc.

  • General Acute Care Hospital
  • Brookfield, WI
  • NPI 1598714420
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359158400000",
    "number": "1689784290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 WOODLAND WAY",
            "city": "SLINGER",
            "state": "WI",
            "postal_code": "530869059",
            "telephone_number": "414-732-4962",
            "fax_number": "262-794-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16535 W BLUEMOUND RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055936",
            "telephone_number": "414-732-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUDZIELANEK",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "MS,RD,CD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1731-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megean Grode
• David L. Groden, M.D.
• Jenna Groh
• Wendy L Grohman, APNP
• Caren Halkerston Groose, RN
• Novia Gschiedmeier, L.AC.
• Katie Elizabeth Gubbins, MS CCC-SLP
• Amanda K Guiden, LPC
• Ashley Guingrich
• Lynne A Guinther, LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2013; 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.