Amy Michelle Goblirsch, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3589 Issued in MN

Practice address

10579 Karston Ave NE
Albertville, MN 55301-4602

Phone

(319) 529-2671

NPI assigned

Jun 10, 2020

Last updated

Jun 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Michelle Kreber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1053936591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10579 KARSTON AVE NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10579 KARSTON AVE NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014602",
            "telephone_number": "319-529-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBLIRSCH",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "3589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KREBER",
            "middle_name": "MICHELLE",
            "credential": "RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Dietitian in Albertville, MN
• Providers in Albertville, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.