Active NPI
Christina Gabriella Ritzer, RDN LD CD
- Registered Dietitian
- Crandon, WI
National Provider Identifier
1437220266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2274
- Practice address
- 8201 Mishko Swen Drive
Crandon, WI 54520 - Phone
- (715) 478-4343
- NPI assigned
- Nov 13, 2006
- Last updated
- Feb 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2275 | MN | |
| Registered Dietitian | 133V00000X | 2274 | WI | Primary |
Addresses
Primary practice location
8201 Mishko Swen Drive
Crandon, WI 54520
Mailing address
1807 Riverfarm Lane
Eagle River, WI 54521
Phone (651) 283-7714
Other names 1
- Christina Gabriella Gapp, Vandewiele
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2274 | WI | MD | Professional Counselor |
| 2275 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regina Medical Center | 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.
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1326066085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1437220266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 RIVERFARM LANE",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "54521",
"telephone_number": "651-283-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 MISHKO SWEN DRIVE",
"city": "CRANDON",
"state": "WI",
"postal_code": "54520",
"telephone_number": "715-478-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITZER",
"first_name": "CHRISTINA",
"middle_name": "GABRIELLA",
"name_prefix": "Ms.",
"credential": "RDN LD CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2022-02-10",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2275",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "GAPP, VANDEWIELE",
"middle_name": "GABRIELLA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crandon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.