IndividualActive
Kim Petershack, CD
NPI 1346206323 · Registered Dietitian · Madison, WI
Kim Petershack, CD is a Registered Dietitian provider in Madison, WI (NPI 1346206323).
Provider details
- NPI number
- 1346206323
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- CD
- Sex
- Female
- Sole proprietor
- No
- License
- 15-029 (WI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Phone: (608) 252-8000
Fax: (608) 283-7192
Street-level locationGet directions
Mailing address
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Additional practice locations (1)
- 1313 Fish Hatchery RdDean Medical CenterMadison, WI 53715-1911Phone: (608) 252-8000Fax: (608) 252-8245
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2018-01-23
Frequently asked questions
- What is Kim Petershack's NPI number?
- Kim Petershack's National Provider Identifier (NPI) is 1346206323, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Petershack's specialty?
- Kim Petershack is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Kim Petershack located?
- Kim Petershack's practice location on file with NPPES is 1313 Fish Hatchery Rd, Madison, WI 53715-1911.
- What is Kim Petershack's phone number?
- The practice phone number listed in the NPPES registry for Kim Petershack is (608) 252-8000.
- Is Kim Petershack's NPI active?
- Yes — Kim Petershack's NPI (1346206323) is active in the NPPES registry as of the last update on 2018-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.