Transform Diet and Wellness Center, LLC
NPI 1811249758ActiveOrganization· Dietary Manager· Pewaukee, WI
Dietary Manager in Pewaukee, Wisconsin, registered in NPPES in October 2012, part of Wisconsin Vein Center and Medispa, SC. The authorized official on file is Amelia Tollefson, APNP, Nurse Practioner.
Overview
| NPI | 1811249758 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wisconsin Vein Center and Medispa, SC |
| NPI issued | Oct 2, 2012 |
| Last updated in NPPES | Oct 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietary Manager Primary | 132700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|