Wendy M Backaus, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3663-29 Issued in WI

Practice address

711 W Adams St
Black River Falls, WI 54615-5052

Phone

(715) 284-5361

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

No

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.

• Black River Health Inc

  • Rural Health Clinic/Center
  • Black River Falls, WI
  • NPI 1255183182
  NPD
• Black River Health Inc

  • Oxygen Equipment & Supplies (DME)
  • Black River Falls, WI
  • NPI 1285782250
  NPD
• Black River Health Inc

  • Critical Access Hospital
  • Black River Falls, WI
  • NPI 1811940331
  NPD

• Wendy Barth Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2023.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1962001909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W ADAMS ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155052",
            "telephone_number": "715-284-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W ADAMS ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155052",
            "telephone_number": "715-284-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKAUS",
        "first_name": "WENDY",
        "middle_name": "M",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3663-29",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR CERTIFICATION",
            "identifier": "86118957",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BARTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremy S Anger
• Darrin Antonelli, M.D.
• Stacy L. Armitage, OCCUPATIONAL THERAPI
• Art of Optometry LTD
• Justin Dean Atherton, O.D.
• Stephanie L Bantell, MD
• Emily Ruth Bartels
• Trevor Bauer, PHARMD
• Douglas Paul Beaver, PHARMD.
• Kristin Berg, RN

• All providers in Black River Falls, WI
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.