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MARY IANA KNICKMEYER NPI 1245561034


NPI Information

NPI: 1245561034
Provider Name: MARY IANA KNICKMEYER
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
600 HIGHLAND AVE
COMPLIANCE MC 2433
MADISON, WI
ZIP 53792
Phone: (608) 662-0817
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Mary Iana Knickmeyer is a dietitian registered in Madison, WI. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Mary Iana Knickmeyer NPI is 1245561034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 HIGHLAND AVE
COMPLIANCE MC 2433
MADISON, WI
ZIP 53792-001
Phone: (608) 662-0817
Fax: (608) 203-4544

The enumeration date for this NPI number is 1/19/2010 and was last updated on 1/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered458025WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
193-029OTHERNEBRASKACERTIFIED DIETITIAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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