Active NPI
Rebecca Jane White, RD CDE
- Registered Dietitian
- Wisconsin Rapids, WI
National Provider Identifier
1669515276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 719126
- Practice address
- 1041 Hill Street
Wisconsin Rapids, WI 54495 - Phone
- (715) 421-7566
- Fax
- (715) 422-9353
- NPI assigned
- Feb 14, 2007
- 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 | 719126 | WI | Primary |
Addresses
Primary practice location
1041 Hill Street
Wisconsin Rapids, WI 54495
Mailing address
4831 Fairfield Dr
Plover, WI 54467-4207
Phone (715) 422-9287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719126 | WI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Multi-Specialty Clinic/Center
- Adams, WI
- NPI 1114411287
-
- Rural Health Clinic/Center
- Marshfield, WI
- NPI 1124633870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669515276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4831 FAIRFIELD DR",
"city": "PLOVER",
"state": "WI",
"postal_code": "544674207",
"telephone_number": "715-422-9287",
"fax_number": "715-422-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 HILL STREET",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "54495",
"telephone_number": "715-421-7566",
"fax_number": "715-422-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "REBECCA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "RD CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "719126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.