Individual provider Active NPI

Amber Kaehr, RDN

  • Registered Dietitian
  • Goshen, IN
National Provider Identifier
1023861614
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
37001343A Issued in IN
Practice address
2024 Dorchester CT Ste 1
Goshen, IN 46526-6546
Phone
(574) 537-1221
Fax
(574) 537-1225
NPI assigned
Apr 11, 2024
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37001343A IN Primary

Addresses

Primary practice location

2024 Dorchester CT Ste 1
Goshen, IN 46526-6546

Mailing address

52135 County Road 131
Bristol, IN 46507-8859
Phone (260) 820-0818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521003974 IN Practitioner - Registered Dietitian Or Nutrition Professional 5496197543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshen Health System IncGroup PAC ID 4880598572, 135 clinicians

Practice addresses (Care Compare)

2024 Dorchester CT
Suite 1
Goshen, IN 46526-6546
Phone (574) 534-6752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Health System Inc CurrentSince Apr 30, 2024 Accepting new patients
Goshen Health System Inc CurrentSince Apr 30, 2024 Accepting new patients

Locations

2024 Dorchester Ct
Ste 1
Goshen, IN 46526
Phone (574) 537-8326

2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1023861614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52135 COUNTY ROAD 131",
            "city": "BRISTOL",
            "state": "IN",
            "postal_code": "465078859",
            "telephone_number": "260-820-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 DORCHESTER CT STE 1",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266546",
            "telephone_number": "574-537-1221",
            "fax_number": "574-537-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEHR",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37001343A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.