Active NPI
Chad Knutson, RD
- Health Educator
- Wauwatosa, WI
National Provider Identifier
1780160929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 2462-29
- Practice address
- 201 N Mayfair Rd
Wauwatosa, WI 53226-4216 - Phone
- (414) 259-7422
- NPI assigned
- Jul 11, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 2462-29 | WI | Primary |
Addresses
Primary practice location
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Mailing address
W304N5329 Evelyn CT
Hartland, WI 53029-1058
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2462-29 | WI | MD | Health Educator |
Interoperability endpoints
- chad.knutson.1@14940.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531267200000",
"number": "1780160929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W304N5329 EVELYN CT",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530291058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264216",
"telephone_number": "414-259-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "CHAD",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "WI",
"license": "2462-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.