Individual provider Active NPI

Kristin L Sousek, RD

  • Registered Dietitian
  • Sioux Falls, SD
National Provider Identifier
1508941956
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0251 Issued in SD
Practice address
3000 S Minnesota Ave
Sioux Falls, SD 57105-5647
Phone
(605) 334-7231
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0251 SD Primary

Addresses

Primary practice location

3000 S Minnesota Ave
Sioux Falls, SD 57105-5647

Mailing address

3000 S Minnesota Ave
Sioux Falls, SD 57105-5647
Phone (605) 334-7231

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

LicenseStateTypeSpecialty
0251SDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC Current Accepting new patients
Avera McKennan Past Accepting new patients

Locations

1300 N 2nd St
Cherokee, IA 51012
Phone (712) 225-6121

4605 Fleur Dr
Des Moines, IA 50321
Phone (515) 285-7133

7300 Westown Pkwy
Ste 320
West Des Moines, IA 50266
Phone (402) 896-5000

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

1990 Grand Ave
West Des Moines, IA 50265
Phone (515) 223-8151

3000 S Minnesota Ave
Sioux Falls, SD 57105
Phone (605) 332-1502

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1508941956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055647",
            "telephone_number": "605-334-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055647",
            "telephone_number": "605-334-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSEK",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.