Active NPI
Kristin Neusel, M.S, R.D., L.D.
- Registered Dietitian
- St. Louis, MO
National Provider Identifier
1134462518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2012039995
- Practice address
- 10010 Kennerly Rd.
St. Louis, MO 63128 - Phone
- (314) 525-1268
- NPI assigned
- Apr 3, 2013
- 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 | 2012039995 | MO | Primary |
Addresses
Primary practice location
10010 Kennerly Rd.
St. Louis, MO 63128
Mailing address
640 Park Commons CT.
Apt. L
Valley Park, MO 63088
Phone (618) 340-0713
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012039995 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1134462518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 PARK COMMONS CT.",
"address_2": "APT. L",
"city": "VALLEY PARK",
"state": "MO",
"postal_code": "63088",
"telephone_number": "618-340-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63128",
"telephone_number": "314-525-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUSEL",
"first_name": "KRISTIN",
"name_prefix": "Mrs.",
"credential": "M.S, R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2012039995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.