Active NPI
Kathryn Nast Picciolo, R.D., C.D.
- Registered Dietitian
- Whitefish Bay, WI
National Provider Identifier
1992161897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 982321
- Practice address
- 5108 N Idlewild Ave
Whitefish Bay, WI 53217-5653 - Phone
- (262) 707-2495
- NPI assigned
- Jan 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 982321 | WI | Primary |
Addresses
Primary practice location
5108 N Idlewild Ave
Whitefish Bay, WI 53217-5653
Mailing address
5108 N Idlewild Ave
Whitefish Bay, WI 53217-5653
Phone (262) 707-2495
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 982321 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1992161897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 N IDLEWILD AVE",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532175653",
"telephone_number": "262-707-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 N IDLEWILD AVE",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532175653",
"telephone_number": "262-707-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAST PICCIOLO",
"first_name": "KATHRYN",
"credential": "R.D., C.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "982321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitefish Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.