Active NPI
Anne Marie Vollrath, RD
- Registered Dietitian
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1122
- Practice address
- 1630 Commanche Ave
Green Bay, WI 54313-5753 - Phone
- (920) 430-4700
- NPI assigned
- Dec 8, 2005
- Last updated
- Mar 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1122 | WI | Primary |
Addresses
Primary practice location
1630 Commanche Ave
Green Bay, WI 54313-5753
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226
Other practice location 1
1580 Commanche Ave
Green Bay, WI 54313-5751
Phone (920) 435-8326
Other practice location 2
2641 Development Dr
Green Bay, WI 54311-4240
Phone (920) 338-6868
Other practice location 3
720 S VanBuren St
Suite 101
Green Bay, WI 54301
Phone (920) 433-3420
Other practice location 4
575 4th St
Kewaunee, WI 54216-1785
Phone (920) 388-4640
Other practice location 5
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20910421 | Other | NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS | |
| 709289 | Other | COMMISSION ON DIETETIC REGISTRATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bellin Health Generations
- Clinic/Center
- Green Bay, WI
- NPI 1497191951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1083699441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 COMMANCHE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543135753",
"telephone_number": "920-430-4700"
}
],
"practiceLocations": [
{
"address_1": "1580 Commanche Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543135751",
"country_code": "US",
"telephone_number": "920-435-8326",
"fax_number": "920-430-4659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2641 Development Dr",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543114240",
"country_code": "US",
"telephone_number": "920-338-6868",
"fax_number": "920-338-6869",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 S VanBuren St",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "54301",
"country_code": "US",
"telephone_number": "920-433-3420",
"fax_number": "920-338-6859",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "575 4th St",
"address_purpose": "LOCATION",
"city": "Kewaunee",
"state": "WI",
"postal_code": "542161785",
"country_code": "US",
"telephone_number": "920-388-4640",
"fax_number": "920-388-0479",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3263 Eaton Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543116830",
"country_code": "US",
"telephone_number": "920-433-6700",
"fax_number": "920-433-6719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOLLRATH",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "1122",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CERTIFICATION BOARD FOR DIABETES EDUCATORS",
"identifier": "20910421",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "709289",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.