Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine M Russo, CD

Individual provider Registered Dietitian · NPI 1992413132

Katherine M Russo, CD is a Registered Dietitian OR Nutrition Professional in Sheboygan, Wisconsin. Qualified in 2015, 11 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2022
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Practice location Address checks out

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone: (920) 453-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 3243 (WI)

Record details

NPI number1992413132
Entity typeIndividual (Type 1)
GenderFemale
Credentials CD
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address3301 W Forest Home Ave, Milwaukee, WI 53215-2843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sheboygan