Ladonna Jenique Gladney, NDTR, CPT

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Practice address

608 E Clarke St
Milwaukee, WI 53212-2925

Phone

(866) 252-2989

NPI assigned

Aug 20, 2021

Last updated

Nov 19, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donnafit4Life LLC

  • Registered Dietetic Technician
  • Milwaukee, WI
  • NPI 1952052763

  Dietetic Technician, Registered

  NPD Authorized official

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1912673674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 N 78TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223920",
            "telephone_number": "866-252-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E CLARKE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122925",
            "telephone_number": "866-252-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADNEY",
        "first_name": "LADONNA",
        "middle_name": "JENIQUE",
        "credential": "NDTR, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@donnafit4life.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3332 N 78th St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532223920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nardos Tesfaye Gizaw
• Cynthia M Gjerde, RN
• Kathleen K Glaaser, MNT
• Danielle Glad, PHD
• Heather Gladfelter, MD
• Shirley Temple Gladney, REGISTERED NURSE
• Valencia J Gladney
• Omar Gladwin, M.D.
• Margaret Gladysz, MD
• Jessie Glanz, RDN

• Registered Dietetic Technician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Dietetic Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.