ELIZABETH C SMYCZEK RD
NPI 1609110097
Dietitian, Registered in Watertown, WI

Active since November 26, 2012
125 HOSPITAL DR, WATERTOWN, WI 53098(920) 262-4784(920) 262-4640 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth C Smyczek Rd NPPES

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

ELIZABETH C SMYCZEK RD (NPI 1609110097) is an individual dietitian, registered in Watertown, Wisconsin, licensed in Wisconsin (2557-29) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1609110097
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameELIZABETH C SMYCZEKCredential: RD
Location Address125 HOSPITAL DRWatertown, WI 53098-3303
Mailing Address125 Hospital DrWatertown, WI 53098-3303 · (920) 262-4784 · Fax (920) 262-4640
Fax(920) 262-4640
Sole ProprietorNo
Enumeration DateNovember 26, 2012
NPI 1609110097 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 · 2557-29
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.

125 HOSPITAL DR, Watertown, WI 53098

Other Identifiers 1

Medicare PIN000071750WI

Accepted Insurance

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.

Home Health
125 HOSPITAL DR
WATERTOWN, WI 53098
Emergency Medicine
125 HOSPITAL DR
WATERTOWN, WI 53098
Anesthesiology
125 HOSPITAL DR
WATERTOWN, WI 53098
General Acute Care Hospital
125 HOSPITAL DR
WATERTOWN, WI 53098
Clinic/Center (Emergency Care)
125 HOSPITAL DR
WATERTOWN, WI 53098
Pharmacy (Institutional Pharmacy)
125 HOSPITAL DR
WATERTOWN, WI 53098
Specialist/Technologist (Athletic Trainer)
125 HOSPITAL DR
WATERTOWN, WI 53098
Specialist/Technologist (Athletic Trainer)
125 HOSPITAL DR
WATERTOWN, WI 53098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609110097, enumerated as an "individual" on November 26, 2012.

The provider is located at 125 HOSPITAL DR WATERTOWN, WI 53098 and the phone number is (920) 262-4784.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Medicare. Please consult your insurance carrier or call the provider to verify.