Individual provider Active NPI

Annika L Crossley, CD

  • Registered Dietitian
  • Janesville, WI
National Provider Identifier
1689470759
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3352-29 Issued in WI
Practice address
32 E Racine St Ste 150
Janesville, WI 53545-4830
Phone
(608) 754-3722
Fax
(608) 754-3132
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3352-29 WI Primary

Addresses

Primary practice location

32 E Racine St Ste 150
Janesville, WI 53545-4830

Mailing address

32 E Racine St Ste 150
Janesville, WI 53545-4830
Phone (608) 754-3722

Other practice location 1

46 Eclipse Ctr
Beloit, WI 53511-3550
Phone (608) 362-1566

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

State licenses

LicenseStateTypeSpecialty
3352-29WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition and Health Associates,Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: annika.crossley.1@27539.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1689470759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E RACINE ST STE 150",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454830",
            "telephone_number": "608-754-3722",
            "fax_number": "608-754-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E RACINE ST STE 150",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535454830",
            "telephone_number": "608-754-3722",
            "fax_number": "608-754-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Eclipse Ctr",
            "address_purpose": "LOCATION",
            "city": "Beloit",
            "state": "WI",
            "postal_code": "535113550",
            "country_code": "US",
            "telephone_number": "608-362-1566",
            "fax_number": "608-362-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSLEY",
        "first_name": "ANNIKA",
        "middle_name": "L",
        "credential": "CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3352-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.