Kaitlyn Petrow

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

37003880A Issued in IN

Practice address

3698 S Leonard Springs Rd
Bloomington, IN 47403-4028

Phone

(317) 551-9030

NPI assigned

Jun 1, 2026

Last updated

Jun 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1861324113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3698 S LEONARD SPRINGS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034028",
            "telephone_number": "317-551-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3698 S LEONARD SPRINGS RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034028",
            "telephone_number": "317-551-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROW",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD009264",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003880A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Petersen, LCSW
• Elizabeth Peterson, OT
• Erica Christine Peterson, RN
• Courtney Petrie
• Misty Susanne Petro, PTA,ATC,CSCS
• Amanda Jean Pettibone-Pond, M.D.
• Colton Phelps
• Deborah Phelps, MT-BC
• Jennifer Phelps, NP-C
• Thomas D Phelps, LMHC

• Registered Dietitian in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.