Kathryn Squires, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

072698 Issued in IA

Practice address

1422 Flammang Dr
Waterloo, IA 50702-4368

Phone

(319) 234-7523

NPI assigned

May 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1336551753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 FLAMMANG DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507024368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 FLAMMANG DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507024368",
            "telephone_number": "319-234-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "KATHRYN",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "072698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Spragg, MD
• Carla J Springer, M.D.
• Jane A. Springer, PHD
• Eric Spurgeon, DDS
• Benjamin Robert Squires, DDS
• Gail Stachovic, BS PHARM, R. PH.
• Lindsay Stack, LMHC, CADC
• Stacy C Wilson LMHC PLC
• Bethany Stafford
• Jerry L Stahl, O.D.

• Registered Dietitian in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.