Active NPI
Pamela Jean Tews, R.D., C.D.
- Registered Dietitian
- Chilton, WI
National Provider Identifier
1962850826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 803471
- Practice address
- 614 Memorial Dr
Chilton, WI 53014-1568 - Phone
- (920) 849-2386
- NPI assigned
- Jun 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 99-29 | WI | |
| Registered Dietitian | 133V00000X | 803471 | WI | Primary |
Addresses
Primary practice location
614 Memorial Dr
Chilton, WI 53014-1568
Mailing address
N7914 Creekside Dr
Sherwood, WI 54169-9677
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803471 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients |
Locations
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Neenah, WI
- NPI 1730126392
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1962850826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N7914 CREEKSIDE DR",
"city": "SHERWOOD",
"state": "WI",
"postal_code": "541699677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 MEMORIAL DR",
"city": "CHILTON",
"state": "WI",
"postal_code": "530141568",
"telephone_number": "920-849-2386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEWS",
"first_name": "PAMELA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "R.D., C.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "99-29",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "803471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chilton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.