Individual provider Active NPI

Deanna M Niedenthal-Duret, RD, CDE

  • Registered Dietitian
  • Onamia, MN
National Provider Identifier
1639224975
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3924 Issued in MN
Practice address
200 Elm Street North
Onamia, MN 56359
Phone
(320) 532-3154
Fax
(320) 532-3111
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI00001831 WA
Registered Dietitian 133V00000X 5377 WI
Registered Dietitian 133V00000X 3924 MN Primary

Addresses

Primary practice location

200 Elm Street North
Onamia, MN 56359

Mailing address

200 Elm Street North
Onamia, MN 56359
Phone (320) 532-3154

Other practice location 1

411 Stageline Rd Ste 150
Hudson, WI 54016-7848
Phone (715) 531-6700

Other identifiers 1

IdentifierTypeStateIssuer
8448821MedicaidWA

Other names 1

  • Deanna M Duret Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180226000192 MN Practitioner - Registered Dietitian Or Nutrition Professional 4183608540 Reassigns benefits to 1 organization
I20240117001819 WI Practitioner - Registered Dietitian Or Nutrition Professional 4183608540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Group Health Inc 1,627 clinicians

Practice addresses (Care Compare)

403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700

405 Stageline Rd
Hudson, WI 54016-7848
Phone (651) 265-1999

411 Stageline Rd
Suite 200
Hudson, WI 54016-7848
Phone (715) 531-6700

744 E Louisiana St
Saint Croix Falls, WI 54024-9501
Phone (866) 544-6741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI00001831WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Nov 22, 2023 Accepting new patients
Group Health, Inc. CurrentSince Dec 4, 2023 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 26, 2024 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 26, 2024 Accepting new patients
Group Health, Inc. CurrentSince Nov 22, 2023 Accepting new patients
Westfields Hospital, Inc. CurrentSince Dec 26, 2024 Accepting new patients
Westfields Hospital, Inc CurrentSince Dec 26, 2024 Accepting new patients
Group Health, Inc. Current Accepting new patients
Pacific County Hospital District 2 Past Accepting new patients
Pacific County Hospital District 2 PastSince Aug 1, 2012 Accepting new patients

Locations

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

411 Stageline Rd
Ste 150
Hudson, WI 54016
Phone (715) 531-6700

403 Stageline Rd
Hudson, WI 54016
Phone (715) 386-8880

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

744 E Louisiana St
St Croix Fls, WI 54024
Phone (651) 772-6251

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1639224975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELM STREET NORTH",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "56359",
            "telephone_number": "320-532-3154",
            "fax_number": "320-532-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM STREET NORTH",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "56359",
            "telephone_number": "320-532-3154",
            "fax_number": "320-532-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Stageline Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEDENTHAL-DURET",
        "first_name": "DEANNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001831",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "5377",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8448821",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "DURET",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Onamia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.