GAIL L UNDERBAKKE


Address: 21 S Vine Street, Belleville, WI 53508
Phone: 6084243384

GAIL L UNDERBAKKE (NPI# 1528010600) 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) 1528010600
Entity Type Individual
Full Name GAIL L UNDERBAKKE
Credential RD
Practice Address 21 S Vine Street
Belleville
WI 53508
Mailing Address 7974 Uw Health Ct
Middleton
WI 53562-5531
Practice Telephone 6084243384
Practice Fax Number 6084246353
Enumeration Date 2006-05-16
Last Update Date 2009-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 220 WI Dietary & Nutritional Service Providers

Office Location

Street Address 21 S VINE STREET
City BELLEVILLE
State WI
Zip Code 53508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255397121 Madonna A Binkowski Social Worker 21 S Vine Street, Belleville, WI 53508 2006-04-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255980900 Nancy Statz Technician W3495 Buol Rd., Belleville, WI 53508 2019-09-05
1881177897 Belleville Hometown Pharmacy LLC Pharmacy 1 West Main St, Belleville, WI 53508 2018-09-14
1487851101 Belleville Area Emergency Medical Service Ambulance 480 River St, Belleville, WI 53508 2007-06-27
1962604702 Flesch Chiropractic Ltd Chiropractor 29 W. Main St., Belleville, WI 53508 2007-06-04
1154381028 University of Wisconsin Medical Foundation Inc Durable Medical Equipment & Medical Supplies 1121 Bellwest Blvd, Belleville, WI 53508 2006-03-24
1104455609 Kane Laks Student in an Organized Health Care Education/Training Program 1121 Bell West Blvd, Belleville, WI 53508 2020-04-06
1043849540 Brian Kenealy Student in an Organized Health Care Education/Training Program 1121 Bell West Blvd, Belleville, WI 53508 2020-04-06
1386273852 Stefanie Sippl Student in an Organized Health Care Education/Training Program 1121 Bell West Blvd, Belleville, WI 53508 2020-04-06
1164051686 Eleanor Meisner Student in an Organized Health Care Education/Training Program 1121 Bell West Blvd, Belleville, WI 53508 2020-04-06
1134681927 Neal J Smith Student in an Organized Health Care Education/Training Program 1121 Bell West Blvd, Beleville, WI 53508 2019-04-02
Find all providers in zip 53508

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
1467095208 Kahli J Brubaker Peachey Dietitian, Registered 6447 State Route 655, Belleville, PA 17004-9249 2019-10-24
1124678578 Kenneth Andre Roberts II Dietitian, Registered 110 Mascoutah Ave, Belleville, IL 62220-3801 2019-09-18
1912441031 Eileen Hoag Dietitian, Registered 105 S Missouri Ave, Belleville, IL 62220-3867 2016-12-08
1356663090 Jennifer Caudell Dietitian, Registered 2271 Haverford Dr, Belleville, IL 62221-7994 2010-02-22
1366681769 Nieves D Galgo Dietitian, Registered 275 Linden Ave, Belleville, NJ 07109-2809 2009-02-10
1508912619 Li S Harder Dietitian, Registered 201 Henry St, 106, Belleville, MI 48111-2958 2007-01-25
1467067736 Amanda Krieger Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2020-09-13
1952952020 Kathleen Villarino Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-09-20
1083261309 Tatyana Aponte Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-08-21
1023575479 Ame Lynn Golaszewski Dietitian, Registered 4752 State Route 655, Belleville, PA 17004-9272 2019-02-21
Find all providers in BELLEVILLE

Competitor

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City BELLEVILLE
Zip Code 53508

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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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