AMY PROUT (NPI# 1518360882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518360882 |
| Entity Type | Individual |
| Full Name | AMY PROUT |
| Credential | RD |
| Practice Address |
9252 N Green Bay Rd Brown Deer WI 53209-1104 |
| Practice Telephone | 4145275261 |
| Practice Fax Number | 4143656356 |
| Mailing Telephone | 4145275261 |
| Mailing Fax Number | 4143656356 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2269 | WI | Dietary & Nutritional Service Providers |
| Street Address |
9252 N GREEN BAY RD |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53209-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470134 | Soliven C Bautista | Physical Medicine & Rehabilitation | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2005-07-08 |
| 1023644531 | Matthew Michael | Physical Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2020-03-16 |
| 1427517408 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2019-03-18 |
| 1679031629 | Allie Knaus | Physical Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2019-03-08 |
| 1700356557 | Emily M Samuel | Physician Assistant | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2018-12-04 |
| 1225514656 | Lori Komisar | Registered Nurse | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2018-07-18 |
| 1891240610 | Nate Sullivan | Nurse Practitioner | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2016-08-22 |
| 1366849952 | Cesar Sison | Occupational Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2014-11-25 |
| 1255512141 | Marina L. Kropp | Physical Medicine & Rehabilitation | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2007-11-19 |
| 1447320510 | Shannon Sarah Muderlak | Family Medicine | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| 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 |
|---|---|---|---|---|
| 1497365720 | Samantha Ann Broghammer | Dietitian, Registered | 4600 W Schroeder Dr, Brown Deer, WI 53223-6458 | 2020-08-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BROWN DEER |
| Zip Code | 53209 |
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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.