Active NPI
Julie Mae Olzak, MS, RD, CD
- Registered Dietitian
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (920) 445-7373
- NPI assigned
- Jan 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | WI | Primary |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
Other practice location 2
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Other practice location 3
218 S Hwy 141
Crivitz, WI 54114-1677
Phone (715) 854-7477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86254288 | Other | WI | COMMISSION ON DIETETIC REGISTRATION |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | julie.olzak@bellin.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, GA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project, Inc | Current | Accepting new patients |
Locations
2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682
2050 Walton Way
Ste 101
Augusta, GA 30904
Phone (706) 434-1590
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Crystal Falls, MI
- NPI 1376649509
-
- Primary Podiatric Medicine Podiatrist
- Evans, GA
- NPI 1124984224
-
- Federally Qualified Health Center (FQHC)
- Evans, GA
- NPI 1740158922
-
- Federally Qualified Health Center (FQHC)
- Augusta, GA
- NPI 1700900867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1972254993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-445-7373"
}
],
"practiceLocations": [
{
"address_1": "2820 Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Marinette",
"state": "WI",
"postal_code": "541433834",
"country_code": "US",
"telephone_number": "715-735-5225",
"fax_number": "715-735-5388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 Arbutus Ave",
"address_purpose": "LOCATION",
"city": "Oconto",
"state": "WI",
"postal_code": "541532004",
"country_code": "US",
"telephone_number": "920-835-1100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218 S Hwy 141",
"address_purpose": "LOCATION",
"city": "Crivitz",
"state": "WI",
"postal_code": "541141677",
"country_code": "US",
"telephone_number": "715-854-7477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLZAK",
"first_name": "JULIE",
"middle_name": "MAE",
"credential": "MS, RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86254288",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "julie.olzak@bellin.org",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "744 S Webster Ave",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543013505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.