Michelle Kozeniecki, MS, RD, CD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2238-29 Issued in WI

Practice address

9200 W Wisconsin Ave
Wauwatosa, WI 53226-3522

Phone

(414) 805-7792

NPI assigned

Jun 1, 2016

Last updated

Jun 13, 2016By the provider in NPPES

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1861840712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "FROEDTERT HOSPITAL",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZENIECKI",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MS, RD, CD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "2238-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Kopecky
• Hannah Koraly, LAT, ATC
• David B Kornreich, DO
• Eric Kortbein, P.A.-C
• Inna Kotlyarenko, DDS
• Jeanne Olinda Kozlovsky, APCSW
• Lorelle Lynn Kramer, M.D.
• Donald Richard Kratz, DDS
• Kay Louise Kratz, D.D.S.
• Jacob Kriedermann, D.O.

• Registered Dietitian in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.