Active NPI
KT Performance Nutrition
- Registered Dietitian
- Marshall, MO
National Provider Identifier
1194647719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KT PERFORMANCE NUTRITION
- Practice address
- 214 E Black St
Marshall, MO 65340-3332 - Phone
- (515) 460-1876
- NPI assigned
- Jul 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlin N Thiel, RDN, LD
- Title
- Registered Dietitian Nutritionist
- Phone
- (515) 460-1876
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
214 E Black St
Marshall, MO 65340-3332
Mailing address
214 E Black St
Marshall, MO 65340-3332
Phone (515) 460-1876
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1194647719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 E BLACK ST",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653403332",
"telephone_number": "515-460-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E BLACK ST",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653403332",
"telephone_number": "515-460-1876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KT PERFORMANCE NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "THIEL",
"authorized_official_first_name": "KAITLIN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
"authorized_official_telephone_number": "515-460-1876",
"authorized_official_credential": "RDN, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.