Katie Surman, RD
Dietitian, Registered in Carterville, IL. Individual provider (NPI-1).
NPI number1033038005
StatusActive
Last updated in NPPESJul 14, 2026
Details
- NPI
- 1033038005
- Entity type
- Individual (NPI-1)
- Name
- Katie Surman
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2026
- Certification date
- Jul 14, 2026
- Last updated
- Jul 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONA
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.006150 | IL | Yes |
Practice location
1006 S Division StCarterville, IL 62918-1539
Phone 618-519-9200 · Fax 618-985-3774
Mailing address
109 California StPo Box 577
Carterville, IL 62918
Phone 618-519-9200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Dietitian providers in Carterville, IL
- Natalie J Adams, RD, DIETITIANNPI 1730402694
- Jeremy E Davis, PHD, RDNPI 1932918505
- Lacie Diane Hawkins, RD-LDNNPI 1588855712
- Victoria HudsonNPI 1437085172
- Gail L Peterman, RDNPI 1730295577
- Jenell A Pluskota, BS RDNPI 1356308928
- Amanda Williams, RDNPI 1881363000
All 8 Registered Dietitian providers in Carterville · All 262 providers in Carterville
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