Provider Demographics
NPI:1356873186
Name:SCHEUERMANN, KAITLYN ANN (RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:KAITLYN
Middle Name:ANN
Last Name:SCHEUERMANN
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:ANN
Other - Last Name:ROMITTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1203 CRAWFORD ST
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:IA
Mailing Address - Zip Code:50036-2138
Mailing Address - Country:US
Mailing Address - Phone:515-290-3022
Mailing Address - Fax:
Practice Address - Street 1:1203 CRAWFORD ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:IA
Practice Address - Zip Code:50036-2138
Practice Address - Country:US
Practice Address - Phone:515-290-3022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA085983133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered