Active NPI
Jamie Ann Sebion, R.D., C.D., C.L.C.
- Registered Dietitian
- Black River Falls, WI
National Provider Identifier
1871708362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1770029
- Practice address
- N6520 Guy Rd
Black River Falls, WI 54615-5405 - Phone
- (715) 284-9851
- NPI assigned
- May 10, 2007
- 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 | 1770029 | WI | Primary |
Addresses
Primary practice location
N6520 Guy Rd
Black River Falls, WI 54615-5405
Mailing address
2322 State Road 16
Lacrosse, WI 54601
Phone (608) 553-2777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1770029 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ho-Chunk Nation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ho-Chunk Health Care Center
- Federally Qualified Health Center (FQHC)
- Black River Falls, WI
- NPI 1407911795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871708362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 STATE ROAD 16",
"city": "LACROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "608-553-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N6520 GUY RD",
"city": "BLACK RIVER FALLS",
"state": "WI",
"postal_code": "546155405",
"telephone_number": "715-284-9851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBION",
"first_name": "JAMIE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "R.D., C.D., C.L.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "1770029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Black River Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.