CALLIE HICKS RD
NPI 1376941641
Dietitian, Registered in West Bend, WI

Q: What is Callie Hicks's NPI number?

The NPI number for Callie Hicks is 1376941641. It was assigned to this individual provider in the NPPES registry on December 18, 2014.

Q: What is Callie Hicks'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 Callie Hicks was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 18, 2014

1700 PARADISE DR, WEST BEND, WI 53095(262) 334-3451 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Callie Hicks Rd NPPES

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

CALLIE HICKS RD (NPI 1376941641) is an individual dietitian, registered in West Bend, Wisconsin, licensed in Wisconsin (2742) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1376941641

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameCALLIE HICKSCredential: RD

Location Address1700 PARADISE DRWest Bend, WI 53095-9000

Mailing Address1700 Paradise DrWest Bend, WI 53095-9000 · (262) 334-3451 · Fax (262) 334-0041

Phone(262) 334-3451

Sole ProprietorNo

Enumeration DateDecember 18, 2014

✔ NPI 1376941641 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 · 2742

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.

1700 PARADISE DR, West Bend, WI 53095

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Other Providers at the Same Location NPPES 10

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

DR. SHANICE S KUKUCK APNP

Nurse Practitioner (Pediatrics)