NPIMap

Organization Active NPI

John H Bradley Deptartment of Veterans Affairs Outpatient Clinic

  • Registered Dietitian
  • Appleton, WI
National Provider Identifier
1982623534
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1456029 Issued in WI
Legal business name
JOHN H BRADLEY DEPTARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC
Practice address
10 Tri-Parkway
Appleton, WI 54914
Phone
(920) 831-0070
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah Lynn Woelfel, RD, CDE
Title
Registered Dietitian
Phone
(920) 831-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 1456029 WI Primary

Addresses

Primary practice location

10 Tri-Parkway
Appleton, WI 54914

Mailing address

7187 Angell Rd
Oshkosh, WI 54904-9544
Phone (920) 836-1998

National Provider Directory

National Provider Directory
Tax ID family
Zablocki VA Medical Ctr13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982623534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7187 ANGELL RD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049544",
            "telephone_number": "920-836-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TRI-PARKWAY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54914",
            "telephone_number": "920-831-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H BRADLEY DEPTARTMENT OF VETERANS AFFAIRS OUTPATIENT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOELFEL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "920-831-0070",
        "authorized_official_credential": "RD, CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1456029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.