Active NPI
Brenna Sunderland-Saied, RD, CD
- Registered Dietitian
- Pleasant Prairie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814 - Phone
- (262) 551-4210
- NPI assigned
- Jul 20, 2021
- 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 | WI | Primary |
Addresses
Primary practice location
10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814
Mailing address
3741 108TH St
Franksville, WI 53126-9628
Phone (262) 994-7063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert South, Inc. | Current | Accepting new patients |
Locations
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
10256 Old Green Bay Rd
Pleasant Prairie, WI 53158
Phone (262) 551-4200
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1770156663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3741 108TH ST",
"city": "FRANKSVILLE",
"state": "WI",
"postal_code": "531269628",
"telephone_number": "262-994-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10256 OLD GREEN BAY RD",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531582814",
"telephone_number": "262-551-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDERLAND-SAIED",
"first_name": "BRENNA",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.