Active NPI
Kathleen Setula, RD
- Registered Dietitian
- Hancock, MI
National Provider Identifier
1669623641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- KS516338
- Practice address
- 500 Campus Dr.
Hancock, MI 49930-1569 - Phone
- (906) 483-1000
- Fax
- (906) 483-1122
- NPI assigned
- Oct 8, 2008
- 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 | KS516338 | MI | Primary |
Addresses
Primary practice location
500 Campus Dr.
Hancock, MI 49930-1569
Mailing address
500 Campus Dr.
Hancock, MI 49930-1569
Phone (906) 483-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516338 | Other | MI | DIETETIC REGISTRATION CERT. |
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 |
|---|---|---|---|
| KS516338 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1669623641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CAMPUS DR.",
"city": "HANCOCK",
"state": "MI",
"postal_code": "499301569",
"telephone_number": "906-483-1000",
"fax_number": "906-483-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CAMPUS DR.",
"city": "HANCOCK",
"state": "MI",
"postal_code": "499301569",
"telephone_number": "906-483-1000",
"fax_number": "906-483-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETULA",
"first_name": "KATHLEEN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "KS516338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC REGISTRATION CERT.",
"identifier": "516338",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hancock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.