| Kristina Lea Penniston, RD, PHD | |
|
600 Highland Ave, F4/320 Clinical Science Center, Madison, WI 53792-3236 | |
| (608) 265-9797 | |
| (608) 262-6453 |
| Full Name | Kristina Lea Penniston |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 600 Highland Ave, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184953267 | NPI | - | NPPES |
| 1444-029 | Other | WI | RD, PHD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1444-029 (Wisconsin) | Primary |
| Provider Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Lea Penniston, RD, PHD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Kristina Lea Penniston, RD, PHD 600 Highland Ave, F4/320 Clinical Science Center, Madison, WI 53792-3236 Ph: (608) 265-9797 |
Ms. Lauren Begnel, RD LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1310 Mendota St Ste 119, Madison, WI 53714 Phone: 608-747-7878 | |
Mariana Gandolfo Bustamante, MS, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3209 Dryden Dr, Madison, WI 53704 Phone: 608-241-9020 | |
Innovative Nutrition Solutions, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 414 Donofrio Dr, Suite 120, Madison, WI 53719 Phone: 608-836-3473 Fax: 608-831-5319 | |
Mrs. Karyn Evelyn Moehring, MA, RDN, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 34 Schroeder Ct, Suite 230, Madison, WI 53711 Phone: 608-467-3473 Fax: 608-831-5319 | |
Ann Marie Mader, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792 Phone: 608-662-0817 Fax: 608-203-4544 | |
Ann M Martin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792 Phone: 608-662-0817 Fax: 608-203-4544 | |
Rachael Shangraw, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 309-242-5548 |