KENDRA KAY BRIDGEWATER


Address: 9633 W Center St, Milwaukee, WI 53222-4524
Phone: 4142329648

KENDRA KAY BRIDGEWATER (NPI# 1275883431) 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) 1275883431
Entity Type Individual
Full Name KENDRA KAY BRIDGEWATER
Credential RD
Practice Address 9633 W Center St
Milwaukee
WI 53222-4524
Practice Telephone 4142329648
Mailing Telephone 4142329648
Enumeration Date 2012-09-14
Last Update Date 2012-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 807091 WI Dietary & Nutritional Service Providers

Office Location

Street Address 9633 W CENTER ST
City MILWAUKEE
State WI
Zip Code 53222-4524

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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
1154946226 Andrew Conrad Senger Dietitian, Registered 2266 N Prospect Ave Ste 304, Milwaukee, WI 53202-6306 2020-06-14
1255956868 Erin Maas Dietitian, Registered 4034 W Stonebridge Ct, Milwaukee, WI 53221-5749 2020-06-09
1982241808 Angela Ellis Dietitian, Registered 2555 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-2709 2019-12-10
1477098861 Mary Radovich Dietitian, Registered 303 E Dover St, Milwaukee, WI 53207-2003 2016-12-21
1023447919 Laurie Meyer Dietitian, Registered 7405 N Skyline Ln, Milwaukee, WI 53217-3327 2013-11-01
1578900023 Elena Teresa Marincic Dietitian, Registered 3237 S. 16th Street, Milwaukee, WI 53215 2013-05-23
1376989954 Ann Marie Sherry Dietitian, Registered 5000 W. Chambers St., Milwaukee, WI 53210-1688 2013-05-22
1124463559 Shannon Nicole Pieronek Dietitian, Registered 5015 W Burleigh St, Milwaukee, WI 53210-1662 2013-04-29
1083916175 Debra Lynn Tressler Dietitian, Registered 2349 S 51st St, Apt 204, Milwaukee, WI 53219-2394 2010-11-23
1538394077 Courtney Jo Safron Dietitian, Registered 945 N. 12th St., Aurora Sinai Medical Center of Aurora Health Care Inc, Milwaukee, WI 53233-1659 2009-05-28
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Competitor

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City MILWAUKEE
Zip Code 53222

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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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