Active NPI
Cassandra M Wetter, R.D.
- Registered Dietitian
- Lake City, IA
National Provider Identifier
1154682995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01610
- Practice address
- 1301 W Main St
Lake City, IA 51449-1585 - Phone
- (712) 464-3171
- Fax
- (712) 464-3269
- NPI assigned
- Jun 7, 2012
- 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 | 01610 | IA | Primary |
Addresses
Primary practice location
1301 W Main St
Lake City, IA 51449-1585
Mailing address
1301 W Main St
Lake City, IA 51449-1585
Phone (712) 464-3171
Other names 1
- Cassandra M Heim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 W Main St
Lake City, IA 51449-1585
Phone (712) 464-3171
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.59 of 100
- Quality
- 90
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 71.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stewart Memorial Community Hospital | Current | Accepting new patients | |
| Stewart Memorial Community Hospital | Dietitian, Registered | Current | Accepting new patients |
Locations
1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stewart Memorial Clinic Lake City
- Rural Health Clinic/Center
- Lake City, IA
- NPI 1285652909
-
- Certified Registered Nurse Anesthetist
- Lake City, IA
- NPI 1831230747
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1154682995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W MAIN ST",
"city": "LAKE CITY",
"state": "IA",
"postal_code": "514491585",
"telephone_number": "712-464-3171",
"fax_number": "712-464-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W MAIN ST",
"city": "LAKE CITY",
"state": "IA",
"postal_code": "514491585",
"telephone_number": "712-464-3171",
"fax_number": "712-464-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTER",
"first_name": "CASSANDRA",
"middle_name": "M",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "HEIM",
"middle_name": "M",
"credential": "R.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.