Individual provider Active NPI

Dena Ann Person, R.D.

  • Registered Dietitian
  • Watertown, WI
National Provider Identifier
1417381997
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
01100362 Issued in NJ
Practice address
123 Hospital Dr
Watertown, WI 53098-3331
Phone
(920) 471-4044
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 1100362 WI
Registered Dietitian 133V00000X 01100362 NJ Primary

Addresses

Primary practice location

123 Hospital Dr
Watertown, WI 53098-3331

Mailing address

766 Marlow Bay
Verona, WI 53593-1795
Phone (608) 279-7889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130001270 WI Practitioner - Registered Dietitian Or Nutrition Professional 5799214185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Logan College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weight in Gold Wellness SCGroup PAC ID 6305202110, 10 clinicians
Meriter Hospital IncGroup PAC ID 3971412735, 122 clinicians

Practice addresses (Care Compare)

123 Hospital Dr
Suite 212
Watertown, WI 53098-3336
Phone (920) 471-4044

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01100362NJMDRegistered Dietitian
1100362WIMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Meriter Hospital, Inc. Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients
Weight in Gold Wellness S.C. Dietitian, Registered CurrentSince Nov 25, 2024 Accepting new patients
Meriter Hospital, Inc. Multi-Specialty Current Accepting new patients
Meriter Hospital, Inc. Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

2501 W Beltline Hwy
Ste 601
Madison, WI 53713
Phone (608) 234-7436

123 Hospital Dr
Ste 212
Watertown, WI 53098
Phone (920) 261-3898

123 Hospital Dr
Watertown, WI 53098
Phone (920) 262-4412

Interoperability endpoints

  • Direct secure messaging: dena.person.2@28527.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28527/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1417381997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 MARLOW BAY",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931795",
            "telephone_number": "608-279-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983331",
            "telephone_number": "920-471-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSON",
        "first_name": "DENA",
        "middle_name": "ANN",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1100362",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "01100362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.