MRS. KATHERINE ELIZABETH HENNEMANN


Address: 1401 W Agency Rd, West Burlington, IA 52655-1659
Phone: 3197684100

MRS. KATHERINE ELIZABETH HENNEMANN (NPI# 1376830166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376830166
Entity Type Individual
Full Name MRS. KATHERINE ELIZABETH HENNEMANN
Other Name KATHERINE ELIZABETH BOWARD
Credential RD, LD, CNSC
Practice Address 1401 W Agency Rd
West Burlington
IA 52655-1659
Practice Telephone 3197684100
Practice Fax Number 3197683412
Mailing Telephone 3197684100
Mailing Fax Number 3197683412
Enumeration Date 2011-06-30
Last Update Date 2011-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 01393 IA Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IA HOSPITAL NPI # 1134168263 01

Office Location

Street Address 1401 W AGENCY RD
City WEST BURLINGTON
State IA
Zip Code 52655-1659

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730186933 Craig Alan Bottke Orthopaedic Surgery 1401 W Agency Rd, West Burlington, IA 52655-1659 2005-07-01
1083234660 Michelle Lynn Mcdowell Physical Therapist 1401 W Agency Rd, West Burlington, IA 52655-1659 2020-04-23
1891314571 Andrea Ruth Skifstad Physical Therapist 1401 W Agency Rd, West Burlington, IA 52655-1659 2020-04-13
1518586676 Christopher Michael Kipp Physical Therapist 1401 W Agency Rd, West Burlington, IA 52655-1659 2020-04-09
1831718964 Ashley Ann Ohern Physical Therapist 1401 W Agency Rd, West Burlington, IA 52655-1659 2020-04-09
1992324107 Joyce Ann Wegmann Speech-Language Pathologist 1401 W Agency Rd, West Burlington, IA 52655-1659 2020-04-09
1245859339 Velma Faye Johnson Physical Therapist 1401 W Agency Rd, West Burlington, IA 52655-1659 2020-04-09
1235610296 Sara Lynn Ragar Physical Therapist 1401 W Agency Rd, West Burlington, IA 52655 2018-08-27
1275988347 Lia Marie Grogan Physician Assistant 1401 W Agency Rd, West Burlington, IA 52655-1659 2016-04-26
1881013357 Jordan Anderson Dietitian, Registered 1401 W Agency Rd, West Burlington, IA 52655-1659 2014-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679920045 Breanne Vogel Nurse Practitioner 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 2016-05-16
1639538010 Kala Haisch Nurse Practitioner 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 2016-02-15
1326305830 Ryan Deets Surgery 1223 S Gear Ave Ste 202, West Burlington, IA 52655 2012-04-20
1912100173 Jennifer Yancey Dietitian, Registered Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 2007-06-06
1043348196 Wilson Hearing Aids & Services Inc Hearing Instrument Specialist 313 E Agency Rd, West Burlington, IA 52655 2007-03-01
1730286204 Eric A Hanks Chiropractor 433 E Mt Pleasant St, West Burlington, IA 52655 2006-09-19
1093825176 Michael Steven Mathews Dentist 409 Layne Dr, West Burlington, IA 52655 2006-08-30
1952383259 Craig Huston Emergency Medical Technician, Basic 1221d S Gear Ave, West Burlington, IA 52655 2005-11-14
1932101466 Theron Jameson Specialist 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 2005-08-15
1255339750 Community Health Centers of Southeastern Iowa Inc Internal Medicine 1706 West Agency Road, West Burlington, IA 52655 2005-07-08
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912100173 Jennifer Yancey Dietitian, Registered Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 2007-06-06
1881013357 Jordan Anderson Dietitian, Registered 1401 W Agency Rd, West Burlington, IA 52655-1659 2014-04-14
1598190035 Emily Morton Dietitian, Registered 1401 W Agency Rd, Wellness Plaza, West Burlington, IA 52655-1659 2013-09-03
1780842583 Kimberly Jeanne Johs Dietitian, Registered 1401 W Agency Rd, West Burlington, IA 52655-1659 2008-05-28
1609054568 Kathryn Ann Schmidt Dietitian, Registered 1401 W Agency Rd, West Burlington, IA 52655-1659 2008-02-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952901803 Sara Marie Tefft Dietitian, Registered 2150 Ne 18th St Unit 96, Grimes, IA 50111-4735 2020-10-29
1124625660 Madison Hemer Dietitian, Registered 311 South Clark Street, Carroll, IA 51401 2020-10-07
1255938213 Annette Arnaud Aljets Dietitian, Registered 63368 190th Ave, Pomeroy, IA 50575-8051 2020-10-02
1649885724 Ellen Elizabeth Przybyszewski Dietitian, Registered 115 Crystal St Unit 303, Ames, IA 50010-8317 2020-09-15
1528678745 Laurynn Elizabeth Verry Dietitian, Registered 10432 Dorset Dr Unit 17, Johnston, IA 50131-2363 2020-08-03
1679182224 Allison Ann Hoepker Dietitian, Registered 300 Sw 5th St Apt A408, Des Moines, IA 50309-4679 2020-07-29
1124636980 Lisa Nolting Dietitian, Registered 1431 Arthur Dr, Ames, IA 50010-5117 2020-07-17
1083231609 John Vendelboe Nielsen Dietitian, Registered 507 Nw 10th St, Ankeny, IA 50023-4203 2020-06-30
1417596677 Kylie Regensburger Dietitian, Registered 509 Se Michael Dr, Ankeny, IA 50021-6429 2020-01-04
1205475456 Mackenzie Woolwich Dietitian, Registered 225 Prairie View Dr Apt 8235, West Des Moines, IA 50266-7130 2020-01-04
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Competitor

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City WEST BURLINGTON
Zip Code 52655

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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