Kaitlin Thiel, MS RDN LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

214 E Black St
Marshall, MO 65340-3332

Phone

(515) 460-1876

NPI assigned

Mar 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• KT Performance Nutrition

  • Registered Dietitian
  • Marshall, MO
  • NPI 1194647719

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1922809706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E BLACK ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403332",
            "telephone_number": "515-460-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E BLACK ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653403332",
            "telephone_number": "515-460-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "KAITLIN",
        "credential": "MS RDN LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis R. Straub
• Summers Pharmacy of Marshall, LLC
• Summers Pharmacy of Marshall, LLC
• The Farris Corporation
• The Shade Tree LLC
• Lance Koltyn Thomas, DC
• Cheryl A Thompson, M.D.
• Morgan Michelle Thompson, MOT, OTR/L
• Paul Vincent Thompson, D.D.S.
• True Life Chiropractic, LLC

• Registered Dietitian in Marshall, MO
• Providers in Marshall, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.