Carolyn Jean Blair, RD
Individual provider Active NPI Registered Dietitian · Waukesha, WI
NPI 1952223927 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1952223927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 863780 (WI)
- Practice address
- 725 American Ave
Waukesha, WI 53188-5031 - Phone
- (262) 928-1000
- NPI assigned
- Jul 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 863780 | WI | Yes |
Addresses
Primary practice location
725 American Ave
Waukesha, WI 53188-5031
Mailing address
N831 Hickory Hills Dr
Oconomowoc, WI 53066-9647
Other providers in Waukesha, WI
- Julie Bjorklund
- Laurie Donnell Bjustrom
- Kelly M Blackburn
- Barry Blackwell
- Alyssa Ann Blaeser
- Michael C Blanchard
- Paige Marie Blanchette
- Serena Blanchette
- Rebecca Joy Bland
- Angela Blasezyk
All providers in Waukesha, WI · Registered Dietitian in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.