Individual provider Active NPI

Kathryn Ann Schmidt, R.D.L/D, C.D.E.

  • Registered Dietitian
  • West Burlington, IA
National Provider Identifier
1609054568
Registry record updated Feb 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
15254 Issued in IA
Practice address
1401 W Agency Rd
West Burlington, IA 52655-1659
Phone
(319) 768-3426
Fax
(319) 768-4160
NPI assigned
Feb 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2008

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 15254 IA Primary

Addresses

Primary practice location

1401 W Agency Rd
West Burlington, IA 52655-1659

Mailing address

1401 W Agency Rd
West Burlington, IA 52655-1659
Phone (319) 768-3426

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
00251IAMDMental Health Counselor
15254IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients
Southeast Iowa Regional Medical Center, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201996800000",
    "number": "1609054568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W AGENCY RD",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551659",
            "telephone_number": "319-768-3426",
            "fax_number": "319-768-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W AGENCY RD",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551659",
            "telephone_number": "319-768-3426",
            "fax_number": "319-768-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R.D.L/D, C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-03",
        "last_updated": "2008-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "15254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2008; 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.