KELLY S LUTZEN (NPI# 1811380033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811380033 |
| Entity Type | Individual |
| Full Name | KELLY S LUTZEN |
| Other Name | KELLY S STEELE |
| Credential | BS |
| Practice Address |
345 W Washington Ave Madison WI 53703-2996 |
| Mailing Address |
202 S Park St Madison WI 53715-1507 |
| Practice Telephone | 6084178300 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2017-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2247-029 | WI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | CERTIFIED DIETITIAN | 2247-029 | 01 |
| Street Address |
345 W WASHINGTON AVE |
| City | MADISON |
| State | WI |
| Zip Code | 53703-2996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124530 | Gena M Vankirk | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2005-06-14 |
| 1376150482 | Hurst Candid Wisconsin, Service Corporation | Dentist | 345 W Washington Ave, Madison, WI 53703-2996 | 2020-09-23 |
| 1609398080 | Lizabeth Kostelny | Social Worker | 345 W Washington Ave, Floor 5, Madison, WI 53703 | 2017-07-07 |
| 1831634047 | Rachel Helen Kelly | Physician Assistant | 345 W Washington Ave, Suite 100, Madison, WI 53703-2996 | 2016-12-23 |
| 1447615844 | April Kamnetz | Social Worker | 345 W Washington Ave, 501, Madison, WI 53703-2996 | 2015-12-30 |
| 1578959391 | Adam Howarth | Social Worker | 345 W Washington Ave, Suite 501, Madison, WI 53703-2996 | 2015-04-08 |
| 1942698618 | Elizabeth Gokey | Social Worker | 345 W Washington Ave, Suite 501, Madison, WI 53703-2996 | 2015-01-05 |
| 1407268634 | Gregory Raupp | Social Worker | 345 W Washington Ave, Madison, WI 53703-2996 | 2014-05-22 |
| 1508296765 | Michelle Harnisch | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2013-11-25 |
| 1356652366 | Terryann Chrudimsky | Dietitian, Registered | 345 W Washington Ave, Madison, WI 53703-2996 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689291254 | Lynne's Moc, LLC | Optometrist | 512 State Street, Madison, WI 53703 | 2020-06-30 |
| 1407327844 | Deborah Ann Pape | Psychologist | 350 S. Hamilton St., Unit 504, Madison, WI 53703 | 2018-12-11 |
| 1336660216 | Kevin Shuai Lian | Radiology | 420 W Dayton St Unit 1142, Madison, WI 53703 | 2017-06-30 |
| 1295279461 | Colin T Graney | Podiatrist | 664 W. Washington Ave, Madison, WI 53703 | 2016-12-07 |
| 1093193690 | Ashley Przybilla | Pediatrics | Group Health Cooperative of South Central Wisconsin, 675 West Washington Avenue, Madison, WI 53703 | 2015-05-14 |
| 1043606841 | Kevin P Emmerich | Emergency Medicine | 390 West Johnson St, Madison, WI 53703 | 2015-04-09 |
| 1376983155 | Ann Renee Wingate | Counselor | 16 N. Hancock Street, Hancock Center, Madison, WI 53703 | 2013-06-26 |
| 1013269398 | See Inc | Optometrist | 437 State St, Madison, WI 53703 | 2012-10-10 |
| 1518243237 | Nathan Dufault | Specialist/Technologist | 305 S. Livingston St., Madison, WI 53703 | 2011-10-26 |
| 1518264142 | Candice Y Lewis | Health Maintenance Organization | 675 W.washington Ave. Group Health Cooperative of South, Madison, WI 53703 | 2011-02-17 |
| Find all providers in zip 53703 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| 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 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on KELLY S LUTZEN.
| 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.