KELLEY ANASTASIA WILSON


Address: 750 University Row, Room 353, Madison, WI 53705-1311
Phone: 6088905005

KELLEY ANASTASIA WILSON (NPI# 1295141109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295141109
Entity Type Individual
Full Name KELLEY ANASTASIA WILSON
Credential MS, RD, CD, CNSC
Practice Address 750 University Row
Room 353
Madison
WI 53705-1311
Practice Telephone 6088905005
Mailing Telephone 6088905005
Enumeration Date 2014-07-11
Last Update Date 2016-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 2740-29 WI Dietary & Nutritional Service Providers

Other Providers KELLEY WILSON

NPI Name Taxonomy Address Enumeration
1346605714 Kelley Wilson Psychologist 1015 Montlimar Dr, Mobile, AL 36609-1713 2015-12-29
1104244474 Kelley Wilson Counselor 5131 Manatee Ave W, Bradenton, FL 34209-3740 2014-04-02
1508085531 Kelley Geddis Wilson Nurse Practitioner 4100 John R St, Karmanos Cancer Center Midlevels, Detroit, MI 48201-2013 2007-04-25
1942224332 Kelley Stewart Wilson Dentist 5025 Se 28th Ave, Portland, OR 97202-4445 2006-07-27

Office Location

Street Address 750 UNIVERSITY ROW
ROOM 353
City MADISON
State WI
Zip Code 53705-1311

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669439329 Deanna J Nakada Physician Assistant 750 University Row, Madison, WI 53705-1311 2006-04-27
1144838434 Sarra Merritt Speech-Language Pathologist 750 University Row, Madison, WI 53705-1311 2020-07-22
1699383836 Maggie Anne English Speech-Language Pathologist 750 University Row, Madison, WI 53705-1311 2020-07-14
1659880144 Jane Elizabeth Vonck Nurse Practitioner 750 University Row, Madison, WI 53705-1311 2017-09-27
1912416132 Megan Krmpotich Campbell Nurse Practitioner 750 University Row, Madison, WI 53705-1311 2017-09-20
1033631361 Emily Josephine Staudt Physician Assistant 750 University Row, Madison, WI 53705-1311 2017-07-07
1831631282 Emily Christine Cardamone Nurse Practitioner 750 University Row, Madison, WI 53705-1311 2016-11-15
1639583750 Vinay L Patel Internal Medicine 750 University Row, Madison, WI 53705-1311 2014-06-17
1841617776 Luke Hillman Internal Medicine 750 University Row, Madison, WI 53705-1311 2014-03-28
1588907992 Andrew R Spiel Internal Medicine 750 University Row, Madison, WI 53705-1311 2013-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629563986 Magdalena Maria Siodlak Pharmacist 2500 Overlook Terrace (119), Madison, WI 53705 2018-06-28
1104343243 Aisling Margaret Tallman Physician Assistant 725 University Row, Apt 124, Madison, WI 53705 2017-08-29
1346785938 Rachel Maria Sanabria Social Worker 4513 Vernon Blvd Ste 100, Madison, WI 53705 2017-01-05
1124482856 Samantha Jo Juve Social Worker 313 Price Pl Ste 212, Madison, WI 53705 2016-04-08
1912373002 Brittany Dennis Counselor 5005 University Avenue, Suite 100, Madison, WI 53705 2015-08-12
1225456981 John Martin Floberg Radiology 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 2014-03-31
1457693319 Matthew Ryan May-curry Psychiatry & Neurology 2500 Overlook Ter # 116a, Madison, WI 53705 2013-03-19
1396083168 Madison Psychiatric & Psychological Services Psychiatry & Neurology 702 N. Blackhawk Ave, #100, Madison, WI 53705 2013-01-29
1174872808 Natasha Bulat Massage Therapist 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 2012-09-10
1033401609 Ann B Braus Family Medicine 6209 Mineral Point Rd, Madison, WI 53705 2011-05-13
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659900405 Jessica Dean Nutrition, LLC Dietitian, Registered 111 Bradley Rd, Madison, CT 06443-2601 2020-04-03
1851950893 Heather Marie Nereson Lorden Dietitian, Registered 600 Highland Aveneu, Madison, WI 53792-0001 2019-06-12
1891255543 Vincent Gene Suha Dietitian, Registered 214 Rosemary Ave, Madison, WI 53714-1842 2019-03-20
1174024392 Everyday Nutrition Dietitian, Registered 547 Florence Dr, Madison, MS 39110-7326 2018-02-22
1740789502 Kimberly Kaye Swanson Dietitian, Registered 34 Schroeder Ct Ste 230, Madison, WI 53711-2528 2018-02-07
1134658537 Diane Bierbauer Dietitian, Registered 520 Thoreau Spring Ct, Madison, AL 35758 2017-06-08
1316487614 Emily Bawden Dietitian, Registered 110 N Livingston St Apt 481, Madison, WI 53703-4431 2017-03-06
1083151526 Nutrition, LLC Dietitian, Registered 347 Waters Edge Ln, Madison, AL 35758-2561 2017-01-23
1033655048 Sarah Dreifke Dietitian, Registered 600 Highland Ave # 1510, Madison, WI 53792-0001 2017-01-13
1831641646 Rachel Roser Dietitian, Registered 10 Loomis Cir, Apt 2, Madison, WI 53704-8931 2016-10-27
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Competitor

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City MADISON
Zip Code 53705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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