Active NPI
Daniel J Clausen, RD, CD
- Registered Dietitian
- Elkhorn, WI
National Provider Identifier
1922748839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1070109
- Practice address
- 1910 County Road NN
Elkhorn, WI 53121-4454 - Phone
- (262) 741-3147
- Fax
- (262) 741-3757
- NPI assigned
- Mar 30, 2022
- Sex
- Male
- 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 | 1070109 | WI | Primary |
Addresses
Primary practice location
1910 County Road NN
Elkhorn, WI 53121-4454
Mailing address
1910 County Road NN
Elkhorn, WI 53121-4454
Phone (262) 741-3147
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 |
|---|---|---|---|
| 1070109 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1922748839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 COUNTY ROAD NN",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214454",
"telephone_number": "262-741-3147",
"fax_number": "262-741-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 COUNTY ROAD NN",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214454",
"telephone_number": "262-741-3147",
"fax_number": "262-741-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUSEN",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "1070109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.