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
- Last updated
- Nov 7, 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 |
Organizations & group practices 1
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.
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
- Jerri Lynn Kasinger, RN, IBCLC
- KC Dietitian LLC (My Dietitian's Kitchen)
- KC Neuromonitoring, LLC
- Adrian Joseph Kelly, LCSW
- John Davis Klamer, DDS
- Michelle Lee Lara, RN
- Cassandra Lawhon, RN
- Erica Lane Lawrence, PT, DPT
- Beverly Jean Leachman, MA, CCC-SLP
- Living Garden Chiropractic LLC (Living Garden Chiropractic)
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.