Active NPI
Bethany Ann Sommerfeldt, RD
- Registered Dietitian
- Ludington, MI
National Provider Identifier
1710517420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1067644
- Practice address
- 1 Atkinson Dr
Ludington, MI 49431-1906 - Phone
- (231) 845-2369
- NPI assigned
- Jan 22, 2020
- 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 | 1067644 | Primary |
Addresses
Primary practice location
1 Atkinson Dr
Ludington, MI 49431-1906
Mailing address
1 Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 845-2369
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1710517420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ATKINSON DR",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311906",
"telephone_number": "231-845-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ATKINSON DR",
"city": "LUDINGTON",
"state": "MI",
"postal_code": "494311906",
"telephone_number": "231-845-2369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMMERFELDT",
"first_name": "BETHANY",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1067644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.