Active NPI
Michelle Kruse, RDN, LD
- Registered Dietitian
- Smithville, MO
National Provider Identifier
1235567686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2013038256
- Practice address
- 1103 S US Highway 169
Smithville, MO 64089-9322 - Phone
- (913) 484-9000
- NPI assigned
- Oct 23, 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 | 2013038256 | MO | Primary |
Addresses
Primary practice location
1103 S US Highway 169
Smithville, MO 64089-9322
Mailing address
1700 NE 181St St
Smithville, MO 64089-9503
Phone (913) 484-9000
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 |
|---|---|---|---|
| 2013038256 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1235567686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 NE 181ST ST",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640899503",
"telephone_number": "913-484-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 S US HIGHWAY 169",
"city": "SMITHVILLE",
"state": "MO",
"postal_code": "640899322",
"telephone_number": "913-484-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "MICHELLE",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2013038256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.