Donnafit4Life LLC

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

Legal business name

DONNAFIT4LIFE LLC

Practice address

3332 N 78TH St
Milwaukee, WI 53222-3920

Phone

(414) 866-2522

NPI assigned

Jan 12, 2022

Organization subpart

No

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

Authorized official

Name

Ladonna Gladney, NDTR, CPTNPI 1912673674

Title

Owner- and Provider

Phone

(866) 252-2989

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ladonna Jenique Gladney, NDTR, CPT

  • Registered Dietetic Technician
  • Milwaukee, WI
  • NPI 1912673674

  Dietetic Technician, Registered

  NPD Authorized official

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1952052763",
    "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": "414-866-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 N 78TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532223920",
            "telephone_number": "414-866-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNAFIT4LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "GLADNEY",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_title_or_position": "OWNER- AND PROVIDER",
        "authorized_official_telephone_number": "866-252-2989",
        "authorized_official_credential": "NDTR, CPT"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietetic Technician, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912673674",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@donnafit4life.com",
            "affiliation": "N",
            "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": []
}

• Stuart Dongre
• Julianna M Doniere, MD
• Lauren Donile, M.S. CCC-SLP
• Katelyn Marie Donisch, PHD, MSPH
• Donna Pitter MD
• Robert F Donnell, MD
• Melanie Julia Donnelly, MD
• Susan C. Donnelly, MSW
• Tara R Donnelly
• Neil F. Donner, MD

• 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 Jan 13, 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.

Verify at the official NPI Registry.