Active NPI
Deanna M Niedenthal-Duret, RD, CDE
- Registered Dietitian
- Onamia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3924
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8448821 | Medicaid | WA |
Other names 1
- Deanna M Duret
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DI00001831 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Pacific County Hospital District 2 | Past | Accepting new patients | |
| Pacific County Hospital District 2 | Past | 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.
-
- Community/Retail Pharmacy
- St Louis Park, MN
- NPI 1104360973
-
- Durable Medical Equipment & Medical Supplies
- St Louis Park, MN
- NPI 1194886002
-
- Clinical Medical Laboratory
- Eden Prairie, MN
- NPI 1215048913
-
- Durable Medical Equipment & Medical Supplies
- Woodbury, MN
- NPI 1386705291
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, MN
- NPI 1619037660
-
- Durable Medical Equipment & Medical Supplies
- Saint Paul, MN
- NPI 1689804064
-
- Durable Medical Equipment & Medical Supplies
- Apple Valley, MN
- NPI 1801957717
-
- Community Based Hospice Care Agency
- Bloomington, MN
- NPI 1871534628
-
- Durable Medical Equipment & Medical Supplies
- Arden Hills, MN
- NPI 1982764130
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.