Active NPI
Catherine A Mehmert
- Registered Dietitian
- Fort Madison, IA
National Provider Identifier
1235322306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01170
- Practice address
- 5445 Avenue O
Fort Madison Community Hospital
Fort Madison, IA 52627 - Phone
- (319) 376-2230
- NPI assigned
- Aug 22, 2007
- 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 | 01170 | IA | Primary |
Addresses
Primary practice location
5445 Avenue O
Fort Madison Community Hospital
Fort Madison, IA 52627
Mailing address
5445 Avenue O
Fort Madison Community Hospital
Fort Madison, IA 52627
Phone (319) 376-2230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00104503 | Other | IA | RAILROAD MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01170 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1235322306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 AVENUE O",
"address_2": "FORT MADISON COMMUNITY HOSPITAL",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "52627",
"telephone_number": "319-376-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 AVENUE O",
"address_2": "FORT MADISON COMMUNITY HOSPITAL",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "52627",
"telephone_number": "319-376-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHMERT",
"first_name": "CATHERINE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00104503",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Madison, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.