Individual provider Active NPI

Deana Beth Preble, R.D., C.D.

  • Registered Dietitian
  • Madison, WI
National Provider Identifier
1689010274
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1543-29 Issued in WI
Practice address
3801 E Washington Ave
Madison, WI 53704-3648
Phone
(608) 244-4696
Fax
(608) 244-5271
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1543-29 WI Primary

Addresses

Primary practice location

3801 E Washington Ave
Madison, WI 53704-3648

Mailing address

3801 E Washington Ave
Madison, WI 53704-3648
Phone (608) 244-4696

Other names 1

  • Deana Beth Foster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1543-29WIMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1689010274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043648",
            "telephone_number": "608-244-4696",
            "fax_number": "608-244-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043648",
            "telephone_number": "608-244-4696",
            "fax_number": "608-244-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBLE",
        "first_name": "DEANA",
        "middle_name": "BETH",
        "credential": "R.D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1543-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANA",
            "last_name": "FOSTER",
            "middle_name": "BETH",
            "credential": "R.D, C.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.