Abigail Jean Dean, MS, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86076989 Issued in WI

Practice address

201 Prairie Run
Grafton, WI 53024-1174

Phone

(715) 651-9228

NPI assigned

Aug 24, 2021

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

• Abigail Jean Fenske Former name

Medicare fee-for-service enrollment

Enrolled in WI, NY2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Kelly'S Choice, LLC

  • Registered Dietitian
  • Skaneateles, NY
  • NPI 1134741762

  Dietitian, Registered, WI

  Medicare reassignment NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1457028854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5579 WHISPERING PINES DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959753",
            "telephone_number": "715-651-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PRAIRIE RUN",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530241174",
            "telephone_number": "715-651-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ABIGAIL",
        "middle_name": "JEAN",
        "credential": "MS, RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "86076989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "FENSKE",
            "middle_name": "JEAN",
            "credential": "MS, RD, CD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Omar J. Darr, M.D.
• Angela Jill David
• Emily Lynn Davidson, MD
• Jessica Davis
• Anna De la Pena, M.D
• Boyd Joseph Decker, CAA
• Phawanjit Kaur Demos, D.O.
• Caitlin Derenne, PA
• Megan Lee Derks, PA
• Gena Marie Dermody

• Registered Dietitian in Grafton, WI
• Providers in Grafton, 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 19, 2023; 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.