Individual provider Active NPI

Christina Gabriella Ritzer, RDN LD CD

  • Registered Dietitian
  • Crandon, WI
National Provider Identifier
1437220266
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2274 Issued in WI
Practice address
8201 Mishko Swen Drive
Crandon, WI 54520
Phone
(715) 478-4343
NPI assigned
Nov 13, 2006
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
2274WIMDProfessional Counselor
2275MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.