Active NPI
Kristin Marie Woodbury, MS, RDN
- Registered Dietitian
- Monticello, IL
National Provider Identifier
1477163434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1000 Medical Center Dr
Monticello, IL 61856-2116 - Phone
- (217) 762-1540
- Fax
- (217) 762-1542
- NPI assigned
- Aug 5, 2020
- Last updated
- Oct 29, 2021
- 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 | NU | Primary |
Addresses
Primary practice location
1000 Medical Center Dr
Monticello, IL 61856-2116
Mailing address
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-2115
Other names 1
- Kristin Schmidt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Loft PLLC | Dietitian, Registered | Current | Accepting new patients |
| Health Loft Services LLC | Dietitian, Registered | Past | Accepting new patients |
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, 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": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1477163434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER DR",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618562116",
"telephone_number": "217-762-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER DR",
"city": "MONTICELLO",
"state": "IL",
"postal_code": "618562116",
"telephone_number": "217-762-1540",
"fax_number": "217-762-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODBURY",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SCHMIDT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monticello, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.