Active NPI
Renee Noelle Andrews, MS,RD,CD
- Registered Dietitian
- Pleasant Prairie, WI
National Provider Identifier
1851060719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 836401
- Practice address
- 9555 76TH St
Pleasant Prairie, WI 53158-1984 - Phone
- (262) 577-8128
- NPI assigned
- Sep 13, 2021
- Last updated
- Sep 13, 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 | 836401 | IL | Primary |
Addresses
Primary practice location
9555 76TH St
Pleasant Prairie, WI 53158-1984
Mailing address
6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 577-8128
Other practice location 1
6308 8th Ave
Kenosha, WI 53143-5031
Phone (262) 577-8128
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 836401 | IL | MD | Registered Dietitian |
| 1491 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1851060719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 8TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531435031",
"telephone_number": "262-577-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 76TH ST",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581984",
"telephone_number": "262-577-8128"
}
],
"practiceLocations": [
{
"address_1": "6308 8th Ave",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531435031",
"country_code": "US",
"telephone_number": "262-577-8128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREWS",
"first_name": "RENEE",
"middle_name": "NOELLE",
"name_prefix": "Mrs.",
"credential": "MS,RD,CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "836401",
"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 Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.