Brianna N Wanner, RDN, LRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

840 Issued in ND

Practice address

1953 Houston Dr
Bismarck, ND 58504-7208

Phone

(701) 425-1260

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1730737420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 HOUSTON DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047208",
            "telephone_number": "701-425-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1953 HOUSTON DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047208",
            "telephone_number": "701-425-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNER",
        "first_name": "BRIANNA",
        "middle_name": "N",
        "credential": "RDN, LRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ND",
            "license": "840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bismarck",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1953 Houston Dr",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585047208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• McKenzie Wandler
• Ashley Wangler, DDS
• Debra Wangler
• Nicholas Peter Wangler, D.D.S.
• Blair K Wanner
• Jacey Patricia Wanner, OTR/L
• Kaitlyn Jean Wanner, DOT
• Kay A Wanner, LRD, CDE
• Lynnett M Wanner, LSW
• Sara Wanner, CCC-SLP

• Registered Dietitian in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Registered Dietitian in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.