Individual provider Active NPI

Charlotte M Rommereim, RD

  • Registered Dietitian
  • Alcester, SD
National Provider Identifier
1205948858
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0124 Issued in SD
Practice address
30470 481St Ave
Alcester, SD 57001-6306
Phone
(605) 934-2951
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0124 SD Primary
Registered Dietitian 133V00000X 00459 IA

Addresses

Primary practice location

30470 481St Ave
Alcester, SD 57001-6306

Mailing address

30470 481St Ave
Alcester, SD 57001-6306
Phone (605) 934-2951

Other identifiers 1

IdentifierTypeStateIssuer
658318OtherCDR REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040226001128 SD Practitioner - Registered Dietitian Or Nutrition Professional 7113813965 Reassigns benefits to 1 organization
I20040525000453 IA Practitioner - Registered Dietitian Or Nutrition Professional 7113813965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Care of Siouxland PLCGroup PAC ID 7315839412, 49 clinicians

Practice addresses (Care Compare)

345 W Steamboat Dr
Suite 300
Dakota Dunes, SD 57049-5287
Phone (605) 217-2175

4545 Sergeant Rd
Sioux City, IA 51106-4706
Phone (712) 274-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00459IAMDClinical Social Worker
0124SDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care of Siouxland PLC CurrentSince Apr 1, 2024 Accepting new patients
Family Health Care of Siouxland LLC Past Accepting new patients

Locations

1125 Pierce St
Ste 100
Sioux City, IA 51105
Phone (712) 255-8901

4545 Sergeant Rd
Sioux City, IA 51106
Phone (712) 274-2400

2600 Outer Dr N
Sioux City, IA 51104
Phone (712) 239-3300

814 Pierce St
Ste 300
Sioux City, IA 51101
Phone (712) 226-2600

4230 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 239-4300

345 W Steamboat Dr
Ste 401
Dakota Dunes, SD 57049
Phone (605) 217-2195

345 W Steamboat Dr
Ste 300
North Sioux City, SD 57049
Phone (605) 217-2175

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1205948858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30470 481ST AVE",
            "city": "ALCESTER",
            "state": "SD",
            "postal_code": "570016306",
            "telephone_number": "605-934-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30470 481ST AVE",
            "city": "ALCESTER",
            "state": "SD",
            "postal_code": "570016306",
            "telephone_number": "605-934-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMMEREIM",
        "first_name": "CHARLOTTE",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0124",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "00459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR  REGISTRATION",
            "identifier": "658318",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alcester, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.