JACQUELINE MARY SULLIVAN
NPI 1740511104
Dietitian, Registered in Elkhorn, WI

Q: What is Jacqueline Sullivan's NPI number?

The NPI number for Jacqueline Sullivan is 1740511104. It was assigned to this individual provider in the NPPES registry on January 26, 2010.

Q: What is Jacqueline Sullivan's specialty?

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

Active since January 26, 2010

W3985 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-2145(262) 741-2559 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacqueline Mary Sullivan NPPES

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

JACQUELINE MARY SULLIVAN (NPI 1740511104) is an individual dietitian, registered in Elkhorn, Wisconsin, licensed in (685422) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1740511104

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJACQUELINE MARY SULLIVAN

Location AddressW3985 COUNTY ROAD NNElkhorn, WI 53121-4337

Mailing Address600 Highland Ave, Compliance Mc 2433Madison, WI 53792-0001 · (608) 662-0817 · Fax (608) 203-4544

Phone(262) 741-2145

Fax(262) 741-2559

Sole ProprietorYes

Enumeration DateJanuary 26, 2010

Last NPPES UpdateOctober 8, 2015

✔ NPI 1740511104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed · 685422

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.

W3985 COUNTY ROAD NN, Elkhorn, WI 53121

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Other Identifiers 1

Other1508-029WI · Certified Dietitian

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.

PAUL A ANGERMEIER MD

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