Active NPI
Dena Geeta Heen, LRD
- Registered Dietitian
- Sartell, MN
National Provider Identifier
1487886842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2191
- Practice address
- 1514 Pebble Creek Dr
Sartell, MN 56377-4521 - Phone
- (320) 293-5240
- NPI assigned
- Aug 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 881120 | MN | |
| Registered Dietitian | 133V00000X | 2191 | MN | Primary |
Addresses
Primary practice location
1514 Pebble Creek Dr
Sartell, MN 56377-4521
Mailing address
1514 Pebble Creek Dr
Sartell, MN 56377-4521
Phone (320) 293-5240
Other practice location 1
1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700
Other names 1
- Ms. Dena Geeta Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881120 | MN | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
dba CentraCare - St. Joseph Clinic
- Multi-Specialty Clinic/Center
- Saint Joseph, MN
- NPI 1134121759
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1487886842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 PEBBLE CREEK DR",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774521",
"telephone_number": "320-293-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 PEBBLE CREEK DR",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774521",
"telephone_number": "320-293-5240"
}
],
"practiceLocations": [
{
"address_1": "1406 6th Ave N",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "MN",
"postal_code": "563031900",
"country_code": "US",
"telephone_number": "320-251-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEEN",
"first_name": "DENA",
"middle_name": "GEETA",
"name_prefix": "Mrs.",
"credential": "LRD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-19",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "881120",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENA",
"last_name": "JOHNSON",
"middle_name": "GEETA",
"prefix": "MS.",
"credential": "LRD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.