Individual provider Active NPI

Karen Diane Krchma, RDN CD

  • Registered Dietitian
  • Thiensville, WI
National Provider Identifier
1861981995
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
801900 Issued in WI
Practice address
216 Green Bay Rd Ste 103
Thiensville, WI 53092-1625
Phone
(414) 315-8800
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 801900 WI Primary

Addresses

Primary practice location

216 Green Bay Rd Ste 103
Thiensville, WI 53092-1625

Mailing address

11713 N Eugene Ave
Mequon, WI 53092-2111
Phone (414) 315-8800

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

LicenseStateTypeSpecialty
801900WIMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1861981995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11713 N EUGENE AVE",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530922111",
            "telephone_number": "414-315-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 GREEN BAY RD STE 103",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921625",
            "telephone_number": "414-315-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRCHMA",
        "first_name": "KAREN",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "RDN CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "801900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiensville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.