Active NPI
Ann Elizabeth Wassenberg, RDN
- Registered Dietitian
- Sabetha, KS
National Provider Identifier
1609342492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2192
- Practice address
- 14TH & Oregon Street
Sabetha, KS 66534 - Phone
- (785) 284-2121
- NPI assigned
- Oct 18, 2018
- Last updated
- Oct 18, 2018
- 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 | 2192 | KS | Primary |
Addresses
Primary practice location
14TH & Oregon Street
Sabetha, KS 66534
Mailing address
14TH & Oregon Street
Sabetha, KS 66534
Phone (785) 284-2121
Other practice location 1
240 W 18th St
Horton, KS 66439-1245
Phone (785) 879-4357
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 |
|---|---|---|---|
| 2192 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Plains of Sabetha Inc | Past | Accepting new patients | |
| Great Plains of Sabetha, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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 Sabetha Community Hospital
- Durable Medical Equipment & Medical Supplies
- Sabetha, KS
- NPI 1215966650
-
dba Sabetha Community Hospital, CRNA/Professional Services
- Specialist
- Sabetha, KS
- NPI 1275657983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1609342492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14TH & OREGON STREET",
"city": "SABETHA",
"state": "KS",
"postal_code": "66534",
"telephone_number": "785-284-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14TH & OREGON STREET",
"city": "SABETHA",
"state": "KS",
"postal_code": "66534",
"telephone_number": "785-284-2121"
}
],
"practiceLocations": [
{
"address_1": "240 W 18th St",
"address_purpose": "LOCATION",
"city": "Horton",
"state": "KS",
"postal_code": "664391245",
"country_code": "US",
"telephone_number": "785-879-4357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASSENBERG",
"first_name": "ANN",
"middle_name": "ELIZABETH",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-18",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sabetha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.