Kari Lynn Thielke Weber, RDN, CEDRD-S, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

870281 Issued in WI

Practice address

301 N Main St Ste C
West Bend, WI 53095-3319

Phone

(262) 707-3691

NPI assigned

Feb 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kari Lynn Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1891294013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 VILLAGE GREEN WAY UNIT 405",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530902500",
            "telephone_number": "262-707-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN ST STE C",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953319",
            "telephone_number": "262-707-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELKE WEBER",
        "first_name": "KARI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RDN, CEDRD-S, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "870281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "JOHNSON",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in West Bend, WI
• Providers in West Bend, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.