Individual provider Active NPI

Laura Kay Fons, RN, RDN

  • Renal Nutrition Registered Dietitian
  • Muskego, WI
National Provider Identifier
1861047813
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
1448 Issued in WI
Practice address
S76W12816 Cambridge CT E
Muskego, WI 53150-4004
Phone
(414) 412-2812
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 1448 WI Primary

Addresses

Primary practice location

S76W12816 Cambridge CT E
Muskego, WI 53150-4004

Mailing address

S76W12816 Cambridge CT E
Muskego, WI 53150-4004
Phone (414) 412-2812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118003715 WI Practitioner - Registered Dietitian Or Nutrition Professional 0648622290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Muskego, WI 53150
Phone (414) 412-2812

S76W12816 Cambridge CT E
Muskego, WI 53150-4004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1448WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Focused Nutrition LLC Nutrition, Renal CurrentSince Nov 30, 2023 Accepting new patients
Marjorie Nolan Cohn LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1861047813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S76W12816 CAMBRIDGE CT E",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531504004",
            "telephone_number": "414-412-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S76W12816 CAMBRIDGE CT E",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531504004",
            "telephone_number": "414-412-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONS",
        "first_name": "LAURA",
        "middle_name": "KAY",
        "credential": "RN, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "WI",
            "license": "1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskego, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.

Verify at the official NPI Registry.