Organization Active NPI

Tamarack Nutrition & Wellness Consulting

  • Registered Dietitian
  • Eau Claire, WI
National Provider Identifier
1720331457
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1499-29 Issued in WI
Legal business name
TAMARACK NUTRITION & WELLNESS CONSULTING
Practice address
130 S Barstow St
Suite 1C
Eau Claire, WI 54701-3691
Phone
(715) 495-5157
NPI assigned
Oct 18, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Mrs. Molly Jane Marten, RDNPI 1063508059
Title
Owner
Phone
(715) 495-5157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1499-29 WI Primary

Addresses

Primary practice location

130 S Barstow St
Suite 1C
Eau Claire, WI 54701-3691

Mailing address

130 S. Barstow Street
Suite 1C
Eau Claire, WI 54701
Phone (715) 495-5157

National Provider Directory

National Provider Directory

Locations

130 S Barstow St
Ste 1C
Eau Claire, WI 54701
Phone (715) 495-5157

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1720331457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S. BARSTOW STREET",
            "address_2": "SUITE 1C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-495-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BARSTOW ST",
            "address_2": "SUITE 1C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013691",
            "telephone_number": "715-495-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARACK NUTRITION & WELLNESS CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "MARTEN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-495-5157",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1499-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.