Active NPI
Rebecca Vanden Langenberg, RD
- Registered Dietitian
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5833-29
- Practice address
- 3263 Eaton Rd
Green Bay, WI 54311-6830 - Phone
- (920) 433-6700
- NPI assigned
- Dec 3, 2024
- 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 | 5833-29 | WI | Primary |
Addresses
Primary practice location
3263 Eaton Rd
Green Bay, WI 54311-6830
Mailing address
125 Wiesner Ave
Casco, WI 54205-9468
Phone (920) 609-4611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5833-29 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
831 Parker Ave
Algoma, WI 54201
Phone (920) 487-3084
3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
575 4th St
Kewaunee, WI 54216
Phone (920) 388-4640
140 School Creek Trl
#B
Luxemburg, WI 54217
Phone (920) 845-1370
3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
311 N 3rd Ave
Sturgeon Bay, WI 54235
Phone (920) 433-6050
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Rural Health Clinic/Center
- Oconto, WI
- NPI 1609018589
-
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1386460574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WIESNER AVE",
"city": "CASCO",
"state": "WI",
"postal_code": "542059468",
"telephone_number": "920-609-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 EATON RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116830",
"telephone_number": "920-433-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEN LANGENBERG",
"first_name": "REBECCA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "5833-29",
"primary": true
}
],
"identifiers": [],
"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 Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.