Individual provider Active NPI

Aryn Degrave, MS, RDN, CLC, CD

  • Registered Dietitian
  • Madison, WI
National Provider Identifier
1730821653
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3389-29 Issued in WI
Practice address
675 S Whitney Way
Madison, WI 53711-1034
Phone
(608) 277-6735
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN008585 PA
Registered Dietitian 133V00000X 3389-29 WI Primary

Addresses

Primary practice location

675 S Whitney Way
Madison, WI 53711-1034

Mailing address

214 N Dickinson St
Madison, WI 53703-2414
Phone (414) 587-5947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607003284 WI Practitioner - Registered Dietitian Or Nutrition Professional 1153863964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weight in Gold Wellness SCGroup PAC ID 6305202110, 10 clinicians

Practice addresses (Care Compare)

123 Hospital Dr
Suite 212
Watertown, WI 53098-3336
Phone (920) 471-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN008585PAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC CurrentSince Apr 28, 2024 Accepting new patients
Hy-Vee Health PC CurrentSince Apr 28, 2024 Accepting new patients
Weight in Gold Wellness S.C. Dietitian, Registered CurrentSince Mar 1, 2025 Accepting new patients
Hy-Vee Health PC Dietitian, Registered Past Accepting new patients
Hy-Vee Health PC Past Accepting new patients

Locations

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

2920 Fitchrona Rd
Fitchburg, WI 53719
Phone (608) 273-5122

3801 E Washington Ave
Madison, WI 53704
Phone (608) 244-4991

675 S Whitney Way
Madison, WI 53711
Phone (608) 277-6731

2501 W Beltline Hwy
Ste 601
Madison, WI 53713
Phone (608) 234-7436

123 Hospital Dr
Ste 212
Watertown, WI 53098
Phone (920) 261-3898

Interoperability endpoints

  • Direct secure messaging: aryn.degrave.1@28527.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28527/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1730821653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N DICKINSON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032414",
            "telephone_number": "414-587-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S WHITNEY WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111034",
            "telephone_number": "608-277-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAVE",
        "first_name": "ARYN",
        "credential": "MS, RDN, CLC, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN008585",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "3389-29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 17, 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.