Active NPI
Taylor Ashley Prellberg, RD
- Registered Dietitian
- Brookfield, WI
National Provider Identifier
1700568060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86086704
- Practice address
- 2925 N 124TH St
Brookfield, WI 53005-3803 - Phone
- (815) 651-6174
- NPI assigned
- Aug 4, 2023
- Last updated
- Aug 4, 2023
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86086704 | Primary |
Addresses
Primary practice location
2925 N 124TH St
Brookfield, WI 53005-3803
Mailing address
2925 N 124TH St
Brookfield, WI 53005-3803
Phone (815) 651-6174
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Every Little Fiber LLC | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
120 Bishops Way
Ste 164
Brookfield, WI 53005
Phone (414) 435-2735
Organizations & group practices 2
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": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1700568060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 N 124TH ST",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053803",
"telephone_number": "815-651-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 N 124TH ST",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530053803",
"telephone_number": "815-651-6174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRELLBERG",
"first_name": "TAYLOR",
"middle_name": "ASHLEY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86086704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.