Katherine Anne Schmid, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164002523 Issued in IL

Practice address

11193 Glen Avon Way
Zionsville, IN 46077-1287

Phone

(847) 867-6942

Fax

(317) 344-0265

NPI assigned

Feb 22, 2007

Last updated

Dec 29, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primary Care Medical Specialists L.L.C

  • Internal Medicine Physician
  • Des Plaines, IL
  • NPI 1861514309
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356739200000",
    "number": "1932234614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11193 GLEN AVON WAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771287",
            "telephone_number": "847-867-6942",
            "fax_number": "317-344-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11193 GLEN AVON WAY",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771287",
            "telephone_number": "847-867-6942",
            "fax_number": "317-344-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMID",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164002523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "01632756",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harmeet Sarao, MD
• Suncica Sasic
• Jennifer Louise Satterfield-Siegel, D.D.S. PEDIATRIC
• Spencer Savage
• Ellen Anne Schemmel, MS PT
• Paul E Schmidt, MD
• Candice Schneider
• William Rudolph Schneider
• Mitchell John Schroder
• Katherine Grace Schuetz, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2012; 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.