TRUDY MUNSON (NPI# 1962591115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962591115 |
| Entity Type | Individual |
| Full Name | TRUDY MUNSON |
| Credential | DTR |
| Practice Address |
9601 Townline Rd Minocqua WI 54548-9099 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7153581427 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | Dietary & Nutritional Service Providers |
| Street Address |
9601 TOWNLINE RD |
| City | MINOCQUA |
| State | WI |
| Zip Code | 54548-9099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721041 | Deno N. Karegeannes | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2005-09-26 |
| 1750934493 | Mchs Hospitals, Inc. | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2019-07-22 |
| 1508351099 | Lauren Erica Treml | Optometrist | 9601 Townline Rd, Minocqua, WI 54548 | 2018-06-27 |
| 1003313230 | Colleen Ann Mueller | Nurse Practitioner | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2018-04-13 |
| 1205355351 | Sami Ahmed | Family Medicine | 9601 Townline Rd, Minocqua, WI 54548 | 2017-09-10 |
| 1699136085 | Peter Thomas Keenan | Clinical Neuropsychologist | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2016-03-11 |
| 1568820199 | Alexa Boersen | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2016-02-10 |
| 1881063329 | Marshfield Clinic Inc | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-09-15 |
| 1184009466 | Patti Ann Brown | Physician Assistant | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-07-28 |
| 1174916720 | David Fay Lee | Radiology | 9601 Townline Rd, Minocqua, WI 54548 | 2015-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197665 | Mchs Hospitals, Inc. | General Acute Care Hospital | 9576 Highway 70, Minocqua, WI 54548 | 2019-07-25 |
| 1922665637 | Ben Lonsdorf | Dentist | 9547 Lakeview Drive #200, Minocqua, WI 54548 | 2019-05-29 |
| 1396194460 | Samantha M Jeffery | Dentist | 5222 Us-51 N, Mercer, WI 54548 | 2016-06-08 |
| 1144608068 | Laura Gifford | Registered Nurse | 9845 Wintergreen Drive, Minocqua, WI 54548 | 2015-05-12 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1609136936 | Joseph M Pilarski | Chiropractor | 9792 Wi-70, Minocqua, WI 54548 | 2012-05-21 |
| 1225307242 | Minocqua Optical | Eyewear Supplier (Equipment, not the service) | 419 Chippewa St, Minocqua, WI 54548 | 2011-12-20 |
| 1073849840 | Frederick Alfred Melms Jr. | Family Medicine | 7380 Timber Lane, Minocqua, WI 54548 | 2009-10-28 |
| 1588820542 | Nicholas Bodmer | Radiology | 9576 Wi-70, Minocqua, WI 54548 | 2008-07-30 |
| 1063694545 | Gina M White | Counselor | 102 Front Street, Minocqua, WI 54548 | 2007-11-27 |
| Find all providers in zip 54548 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; 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 Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548438096 | Darcie M Haupert | Dietetic Technician, Registered | 555 S 108th Street, West Allis, WI 53214 | 2008-02-19 |
| 1679045645 | Renee Annette Taylor | Dietetic Technician, Registered | 400 N Morris St, Stoughton, WI 53589-1857 | 2019-01-01 |
| 1144708355 | Traci Ann Taipale | Dietetic Technician, Registered | 611 N Saint Joseph Ave, Marshfield, WI 54449-1832 | 2018-07-31 |
| 1669962056 | Sarah Kropidlowski | Dietetic Technician, Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2018-05-11 |
| 1518456938 | Elizabeth Charlene Morien | Dietetic Technician, Registered | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2018-05-02 |
| 1891218053 | Allison Knight | Dietetic Technician, Registered | 615 W Moreland Blvd, Waukesha, WI 53188-2462 | 2017-07-19 |
| 1710282678 | Diane K Walker | Dietetic Technician, Registered | 3144 Vanzile Road, Crandon, WI 54520-0275 | 2011-01-24 |
| 1073648093 | Sarah A Paget | Dietetic Technician, Registered | 130 2nd St, Neenah, WI 54956-2883 | 2007-02-22 |
| 1013066729 | Barbara Sue Grobe | Dietetic Technician, Registered | 500 E Veterans St, Tomah, WI 54660-3105 | 2007-01-10 |
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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.