TY A. MULHOLLAND
NPI 1003967654
Dietitian, Registered in Richland Center, WI

Q: What is Ty Mulholland's NPI number?

The NPI number for Ty Mulholland is 1003967654. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Ty Mulholland's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ty Mulholland was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2007

333 E 2ND ST, RICHLAND CENTER, WI 53581(608) 647-6321 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ty A. Mulholland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TY A. MULHOLLAND (NPI 1003967654) is an individual dietitian, registered in Richland Center, Wisconsin, licensed in Wisconsin (155) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1003967654

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameTY A. MULHOLLAND

Location Address333 E 2ND STRichland Center, WI 53581-1914

Mailing Address333 E 2nd StRichland Center, WI 53581-1914 · (608) 647-6321

Phone(608) 647-6321

Sole ProprietorNo

Enumeration DateJanuary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003967654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in WI · 155

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

333 E 2ND ST, Richland Center, WI 53581

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ty A. Mulholland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ty Mulholland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Richland Hospital

Same address

Critical Access

333 E 2ND ST
Richland Center, WI 53581

Reassigned Medicare billing, Wisconsin enrollment
168 clinicians in this Medicare group

NPI 1659301273 (608) 647-6321

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA WATSON

Physical Therapist