WATERTOWN MEDICAL CENTER LLC
NPI 1124495932
Dietitian, Registered in Watertown, WI

Q: What is Watertown Medical Center LLC's NPI number?

The NPI number for Watertown Medical Center LLC is 1124495932. It was assigned to this organization in the NPPES registry on August 27, 2015.

Q: What is Watertown Medical Center LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since August 27, 2015

125 HOSPITAL DR, WATERTOWN, WI 53098(920) 262-4210 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Watertown Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERTOWN MEDICAL CENTER LLC (NPI 1124495932) is a healthcare organization registered as a dietitian, registered in Watertown, Wisconsin and active in the NPI registry since August 2015. The organization lists Johnetta Traylor, Director, as its authorized official.

NPPES Registry Identity

NPI1124495932

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameWATERTOWN MEDICAL CENTER LLC

Location Address125 HOSPITAL DRWatertown, WI 53098-3303

Mailing Address680 S 4th St # Kh-3Louisville, KY 40202-2407 · (502) 596-6063

Phone(920) 262-4210

Organization SubpartNo

Authorized OfficialJohnetta TraylorDirector · (502) 596-6063

Enumeration DateAugust 27, 2015

Last NPPES UpdateJune 16, 2025

NPPES CertifiedJune 16, 2025

✔ NPI 1124495932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedOccupational TherapistTaxonomy 225X00000X

125 HOSPITAL DR, Watertown, WI 53098

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANDELL LEE HERRICK FNP-BC

Registered Nurse