Active NPI
Anna Eliazbeth Wilgenburg, MPH, RD
- Registered Dietitian
- Cary, NC
National Provider Identifier
1508647868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86415070
- Practice address
- 527 Keisler Dr Ste 101
Cary, NC 27518-9306 - Phone
- (919) 524-6551
- NPI assigned
- Oct 11, 2023
- 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 | 86415070 | NC | Primary |
Addresses
Primary practice location
527 Keisler Dr Ste 101
Cary, NC 27518-9306
Mailing address
5703 Windlestraw Dr Apt 15
Durham, NC 27713-9034
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86415070 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition & Diabetes Counseling Center of NC, LLC | Dietitian, Registered | 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 and National Provider Directory roles.
-
- Registered Dietitian
- Cary, NC
- NPI 1457932550
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1508647868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 WINDLESTRAW DR APT 15",
"city": "DURHAM",
"state": "NC",
"postal_code": "277139034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 KEISLER DR STE 101",
"city": "CARY",
"state": "NC",
"postal_code": "275189306",
"telephone_number": "919-524-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILGENBURG",
"first_name": "ANNA",
"middle_name": "ELIAZBETH",
"credential": "MPH, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "86415070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.