Teresa Lynn Nelson, DTR, CD

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

887456 Issued in WI

Practice address

1818 N Meade St BLDG Door38
Appleton, WI 54911-3454

Phone

(920) 454-1877

NPI assigned

Apr 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1811682255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST BLDG DOOR38",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-454-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST BLDG DOOR38",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-454-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "DTR, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "WI",
            "license": "887456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Richard Nelson, D.D.S.
• Gabriele Margarete Nelson, LPN
• Gregory G Nelson
• Kurt A Nelson
• Megan Rose Nelson, MS
• Donna M Nennig, OTR, CHT
• Talia Lyn Nennig, SLP
• Linda Nett-Duesterhoeft
• Sandra Marie Nett, ATR
• Kristin E Neubert, MS, LPC

• Registered Dietetic Technician in Appleton, WI
• Providers in Appleton, WI by specialty
• Registered Dietetic Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.