Fitventures Pewaukee Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FITVENTURES PEWAUKEE INC

Practice address

1450 Capitol Dr Unit C
Pewaukee, WI 53072-2608

Phone

(262) 347-1843

Fax

(855) 978-2028

NPI assigned

Oct 17, 2025

Organization subpart

No

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

Authorized official

Name

Jayden Clemetson, RDNPI 1487381778

Title

Owner

Phone

(262) 347-1843

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Fitventures Pewaukee Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fitventures-Pewaukee Inc

  • Registered Dietitian
  • Brookfield, WI
  • NPI 1063304558
  NPD tax ID

Locations

Practitioners 1

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

• Jayden Mae Clemetson, RDN

  • Nutritionist
  • Waukesha, WI
  • NPI 1487381778
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1962379792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CAPITOL DR UNIT C",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722608",
            "telephone_number": "262-347-1843",
            "fax_number": "855-978-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CAPITOL DR UNIT C",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722608",
            "telephone_number": "262-347-1843",
            "fax_number": "855-978-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITVENTURES PEWAUKEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "CLEMETSON",
        "authorized_official_first_name": "JAYDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-347-1843",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James A Foley, M.D.
• Susan Foley, MS
• Foot and Ankle Associates of Wi LTD

• Registered Dietitian in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.