Kristine M Sullivan-Peters, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37002418A Issued in IN

Practice address

76 N Irvington Ave
Indianapolis, IN 46219-5702

Phone

(317) 690-9985

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, NJ, DC, AZ, TX, AR, CA7 enrollments

Enrollment records 7

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surely Health IncGroup PAC ID 3072960491, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• CO HMO C-SNP
• CO HMO D-SNP
• CO HMO
• devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a

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.

• Surely Health, Inc.

  • Registered Dietitian
  • Irving, TX
  • NPI 1053078360

  AZ, Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Season Clinical Care NJ PC

  • Registered Dietitian
  • Parsippany, NJ
  • NPI 1700693348

  Dietitian, Registered

  Medicare reassignment NPD
• Season Clinical Care P.a.

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  AR, AZ, CO, DC, Dietitian, Registered

  Medicare reassignment NPD
• Suneer Chander MD PC

  • Registered Dietitian
  • San Jose, CA
  • NPI 1659262749

  Dietitian, Registered

  Medicare reassignment NPD
• H-E-B, LP

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1073622411
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1033650924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 N IRVINGTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195702",
            "telephone_number": "317-690-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 N IRVINGTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462195702",
            "telephone_number": "317-690-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN-PETERS",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37002418A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen R. Suhrie, MD
• Jeffrey Gideon Suico, M.D.
• Clare D Sukay, MD
• Laura M. Sulecki, NP
• Courtney Sullenberger, PA-C
• Abigail Jade Sullivan
• Amber Sullivan
• Bridget Lynnette Sullivan, CTRS
• Catherine H Sullivan, LCSW, LCAC
• Elaine Sullivan

• Registered Dietitian in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.