BONNIE J HESSEDAL (NPI# 1023233822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023233822 |
| Entity Type | Individual |
| Full Name | BONNIE J HESSEDAL |
| Credential | RD |
| Practice Address |
110 E 5th Ave Antigo WI 54409-2710 |
| Mailing Address |
Po Box 1405 Wausau WI 54402-1405 |
| Practice Telephone | 7156232351 |
| Practice Fax Number | 7156276183 |
| Mailing Telephone | 7158472304 |
| Mailing Fax Number | 7158472321 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1343-029 | WI | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1023233822 | 05 |
| Street Address |
110 E 5TH AVE |
| City | ANTIGO |
| State | WI |
| Zip Code | 54409-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343319 | James M Turnbull | General Practice | 110 E 5th Ave, Aspirus General Clinic, Antigo, WI 54409-2710 | 2005-11-17 |
| 1811343544 | Lesley Washatko | Physician Assistant | 110 E 5th Ave, Antigo, WI 54409-2710 | 2016-05-12 |
| 1790155182 | Heather Conn | Nurse Practitioner | 110 E 5th Ave, Antigo, WI 54409-2710 | 2015-09-29 |
| 1336548627 | Nathaniel Joseph Retrum | Physician Assistant | 110 E 5th Ave, Antigo, WI 54409-2710 | 2014-08-22 |
| 1548406416 | Jessica Marie Brandt | Physical Therapist | 110 E 5th Ave, Department of Physical Therapy, Antigo, WI 54409-2710 | 2008-12-26 |
| 1033309315 | Kathleen M Bender | Dietitian, Registered | 110 E 5th Ave, Antigo, WI 54409-2710 | 2007-08-01 |
| 1821151366 | Langlade Hospital Hotel Dieu of St Joseph of Antigo Wisconsin | Clinic/Center | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-12-18 |
| 1114037363 | Angela Buchman | Physician Assistant | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-08-30 |
| 1578679262 | John E Mckenna | Family Medicine | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-08-22 |
| 1184643413 | Andrea L Pennington | Physician Assistant | 110 E 5th Ave, Antigo, WI 54409-2710 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454036 | Jason Peter Cueny | Pharmacist | 200 E Highway 64, Antigo, WI 54409 | 2020-10-15 |
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1033753512 | Joseph Gerger | Technician | 711 Badger Ave, Antigo, WI 54409 | 2019-10-29 |
| 1225368780 | Integrated Pain Solutions LLC | Clinic/Center | 2327 Neva Road, Antigo, WI 54409 | 2010-01-06 |
| 1558525212 | Jessica E Rosenberg | Social Worker | 310 South Superior Street, Antigo, WI 54409 | 2008-07-11 |
| 1053433292 | Raymond J Portman | Dentist | 705 Fifth Ave, Antigo, WI 54409 | 2007-04-06 |
| 1699801316 | Rick L Perkins | Obstetrics & Gynecology | Aspirus General Clinic, 110 East 5th Avenue, Antigo, WI 54409 | 2007-02-26 |
| 1205999646 | Earl J Roth | Chiropractor | 612 Century Ave, Antigo, WI 54409 | 2006-12-18 |
| 1811061187 | Rosanne Schermetzler | Occupational Therapist | 720 Ackley Street, Antigo, WI 54409 | 2006-11-20 |
| 1912084070 | Antigo Total Therapy & Sports Rehab Center Inc | Physical Therapist | 720 Askley Street, Antigo, WI 54409 | 2006-11-01 |
| Find all providers in zip 54409 | ||||
| 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 |
|---|---|---|---|---|
| 1710467444 | Carolyn Kelk | Dietitian, Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2018-08-21 |
| 1033309315 | Kathleen M Bender | Dietitian, Registered | 110 E 5th Ave, Antigo, WI 54409-2710 | 2007-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001909 | Wendy M Barth | Dietitian, Registered | N3035 Sidney Ave, Neillsville, WI 54456-7037 | 2020-10-21 |
| 1255946166 | Rachael Omdoll | Dietitian, Registered | 700 Airview Dr, Palmyra, WI 53156-9204 | 2020-09-09 |
| 1194336669 | Carly Duerst | Dietitian, Registered | W6068 Pioneer Rd, New Glarus, WI 53574-9735 | 2020-08-10 |
| 1730799636 | Bailey May Knutson | Dietitian, Registered | N44w6025 Hamilton Rd, Cedarburg, WI 53012-2454 | 2020-08-05 |
| 1538778550 | Kirsten White | Dietitian, Registered | W3021 Cara Way, Appleton, WI 54915-3991 | 2020-07-27 |
| 1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| 1821616517 | Emily Anne Oschmann | Dietitian, Registered | 630 Woodland Cir, Waterford, WI 53185-2885 | 2020-07-08 |
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
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| 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.