Active NPI
Kelsey Marie Brewer, MS, RD, CD
- Registered Dietitian
- Luck, WI
National Provider Identifier
1700523701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3693-29
- Practice address
- 409 E Park Ave
Luck, WI 54853-9085 - Phone
- (715) 491-2916
- NPI assigned
- May 19, 2022
- Last updated
- Jan 26, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3693-29 | WI | Primary |
Addresses
Primary practice location
409 E Park Ave
Luck, WI 54853-9085
Mailing address
409 E Park Ave
Luck, WI 54853-9085
Phone (715) 491-2916
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3693-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| No Diet Dietitian, LLC | Dietitian, Registered | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1700523701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E PARK AVE",
"city": "LUCK",
"state": "WI",
"postal_code": "548539085",
"telephone_number": "715-491-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 E PARK AVE",
"city": "LUCK",
"state": "WI",
"postal_code": "548539085",
"telephone_number": "715-491-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "KELSEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "3693-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luck, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.