Individual provider Active NPI

Kristin A Buttermore, R.D., L.D.

  • Registered Dietitian
  • Sioux Falls, SD
National Provider Identifier
1780848572
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1432 Issued in KS
Practice address
603 S Prairie Ave # 1
Sioux Falls, SD 57104-4227
Phone
(402) 681-6095
NPI assigned
Jul 11, 2008
Last updated
Dec 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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 1432 KS Primary

Addresses

Primary practice location

603 S Prairie Ave # 1
Sioux Falls, SD 57104-4227

Mailing address

603 S Prairie Ave # 1
Sioux Falls, SD 57104-4227
Phone (402) 681-6095

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
1432KSMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1780848572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S PRAIRIE AVE # 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044227",
            "telephone_number": "402-681-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S PRAIRIE AVE # 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044227",
            "telephone_number": "402-681-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERMORE",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "1432",
            "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 Dec 16, 2010; 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.