Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristine M Sullivan-Peters, RD

Individual provider Registered Dietitian · NPI 1033650924

Kristine M Sullivan-Peters, RD is a Registered Dietitian OR Nutrition Professional in Indianapolis, Indiana. Qualified in 2013, 13 years ago. Practices with Surely Health Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2017
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

76 N Irvington Ave
Indianapolis, IN 46219-5702
Phone: (317) 690-9985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37002418A (IN)

Record details

NPI number1033650924
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMarch 13, 2017
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Surely Health Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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