Active NPI
Monica Dawn Knudtson, RD, CD
- Registered Dietitian
- Mauston, WI
National Provider Identifier
1194057059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2192-029
- Practice address
- 1050 Division St
Mauston, WI 53948-1931 - Phone
- (800) 252-4377
- NPI assigned
- Feb 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2192-029 | WI | Primary |
Addresses
Primary practice location
1050 Division St
Mauston, WI 53948-1931
Mailing address
951 Oak Ridge CT
#602
Mauston, WI 53948-2023
Phone (608) 847-1296
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2192-029 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1194057059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 OAK RIDGE CT",
"address_2": "#602",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539482023",
"telephone_number": "608-847-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 DIVISION ST",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481931",
"telephone_number": "800-252-4377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUDTSON",
"first_name": "MONICA",
"middle_name": "DAWN",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2192-029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.