Anna C Wagner, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3035-29 Issued in WI

Practice address

507 S Main St
Viroqua, WI 54665-2059

Phone

(608) 637-4251

NPI assigned

May 6, 2021

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Fitzgerald Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vernon Memorial Healthcare, Inc.

  dba Vernon Health

  • Critical Access Hospital
  • Viroqua, WI
  • NPI 1497750921
  Medicare reassignment NPD
• Vernon Memorial Healthcare, Inc.

  dba Kickapoo Valley Medical Clinic - VMH

  • Rural Health Clinic/Center
  • Soldiers Grove, WI
  • NPI 1376549824
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1881278711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANNA",
        "middle_name": "C",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3035-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "FITZGERALD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vernon Memorial Healthcare, Inc. (Vernon Health Hospital Swing Bed)
• Vernon Memorial Hospital Assn
• Viroqua Area School District
• Derek Waddell, PT, DPT
• Alexander Donald Wade, M.D.
• Fean Wagner, ATHLETIC TRAINER
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0971)
• Wal-Mart Stores East, LP (Vision Center 30-0971)
• Walgreen Co (Walgreens #10301)
• Eric John Walker, PHARMD

• Registered Dietitian in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.

Verify at the official NPI Registry.