Active NPI
Carly J. Degrood, RD
- Registered Dietitian
- Madison, WI
National Provider Identifier
1851409551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1922
- Practice address
- 20 S Park St
Madison, WI 53715-1348 - Phone
- (608) 287-2770
- Fax
- (608) 287-2777
- NPI assigned
- Aug 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1922 | WI | Primary |
Addresses
Primary practice location
20 S Park St
Madison, WI 53715-1348
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.21 of 100
- Quality
- 71.09
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients |
Locations
815 S Main St
Deforest, WI 53532
Phone (608) 846-4605
700 Regent St
Ste 302
Madison, WI 53715
Phone (608) 406-2022
8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766
1 S Park St
Madison, WI 53715
Phone (608) 287-2000
Organizations & group practices 1
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.
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1851409551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151348",
"telephone_number": "608-287-2770",
"fax_number": "608-287-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGROOD",
"first_name": "CARLY",
"middle_name": "J.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "1922",
"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 Mar 2, 2009; 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.