Individual provider Active NPI

Kyle Ann Feasel, RD LD

  • Registered Dietitian
  • Bucyrus, OH
National Provider Identifier
1831462779
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
6856 Issued in OH
Practice address
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone
(419) 567-4677
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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 6856 OH Primary

Addresses

Primary practice location

629 N Sandusky Ave
Bucyrus, OH 44820-1821

Mailing address

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000328 OH Practitioner - Registered Dietitian Or Nutrition Professional 1658535356 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6856OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bucyrus Community Hospital LLC CurrentSince Nov 1, 2011 Accepting new patients
Bucyrus Community Hospital LLC CurrentSince Nov 1, 2011 Accepting new patients

Locations

629 N Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-4677

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1831462779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201821",
            "telephone_number": "419-562-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201821",
            "telephone_number": "419-567-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEASEL",
        "first_name": "KYLE",
        "middle_name": "ANN",
        "credential": "RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "6856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.