Individual provider Active NPI

Christine Marie Kayl, RD

  • Registered Dietitian
  • Sioux City, IA
National Provider Identifier
1982904660
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0330 Issued in SD
Practice address
1551 Indian Hills Dr Ste 206
Sioux City, IA 51104-1857
Phone
(712) 258-4700
Fax
(712) 258-4777
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 0330 SD Primary
Registered Dietitian 133V00000X 001910 IA
Registered Dietitian 133V00000X 884 NE

Addresses

Primary practice location

1551 Indian Hills Dr Ste 206
Sioux City, IA 51104-1857

Mailing address

1551 Indian Hills Dr Ste 206
Sioux City, IA 51104-1857
Phone (712) 258-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017000251 TX Practitioner - Registered Dietitian Or Nutrition Professional 4981935210 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
884NEMDFamily Medicine Physician
001910IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Tribe of Nebraska CurrentSince Jul 22, 2019 Accepting new patients
Wagner Indian Health Service Health Center CurrentSince Apr 25, 2023 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 22, 2019 Accepting new patients

Locations

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

111 Washington Ave NW
Wagner, SD 57380
Phone (605) 384-3621

Organizations & group practices 3

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1982904660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 INDIAN HILLS DR STE 206",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041857",
            "telephone_number": "712-258-4700",
            "fax_number": "712-258-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 INDIAN HILLS DR STE 206",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041857",
            "telephone_number": "712-258-4700",
            "fax_number": "712-258-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYL",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SD",
            "license": "0330",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "001910",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.