Individual provider Active NPI

Laura Mae Dolfin, RD, CD

  • Registered Dietitian
  • Oostburg, WI
National Provider Identifier
1720211345
Registry record updated Aug 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2048-029 Issued in WI
Practice address
220 S Business Park Dr
Unit a-4
Oostburg, WI 53070-1585
Phone
(920) 912-1007
NPI assigned
Aug 30, 2009
Last updated
Aug 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2009

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 2048-029 WI Primary

Addresses

Primary practice location

220 S Business Park Dr
Unit a-4
Oostburg, WI 53070-1585

Mailing address

PO Box 65
Hingham, WI 53031-0065
Phone (920) 912-1007

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
2048WIMDGeneral Practice Dentistry
2048-029WIMDRegistered Dietitian

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": "1251590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251590400000",
    "number": "1720211345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "HINGHAM",
            "state": "WI",
            "postal_code": "530310065",
            "telephone_number": "920-912-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S BUSINESS PARK DR",
            "address_2": "UNIT A-4",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530701585",
            "telephone_number": "920-912-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLFIN",
        "first_name": "LAURA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RD, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-30",
        "last_updated": "2009-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2048-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oostburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2009; 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.