Active NPI
Deborah Jean Kohler, MS,RD,CD
- Registered Dietitian
- Rhinelander, WI
National Provider Identifier
1104493824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 706843
- Practice address
- 2251 N Shore Dr
Rhinelander, WI 54501-6710 - Phone
- (715) 361-2055
- NPI assigned
- Jun 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 706843 | WI | Primary |
Addresses
Primary practice location
2251 N Shore Dr
Rhinelander, WI 54501-6710
Mailing address
N4517 Price Polar Rd
Bryant, WI 54418-9663
Phone (715) 216-4456
Other practice location 1
N4517 Price Polar Rd
Bryant, WI 54418-9663
Phone (715) 216-4456
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | St.Mary'sHospital | Health Information Exchange (HIE) | |
| CONNECT URL | Self |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 706843 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1104493824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4517 PRICE POLAR RD",
"city": "BRYANT",
"state": "WI",
"postal_code": "544189663",
"telephone_number": "715-216-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545016710",
"telephone_number": "715-361-2055"
}
],
"practiceLocations": [
{
"address_1": "N4517 Price Polar Rd",
"address_purpose": "LOCATION",
"city": "Bryant",
"state": "WI",
"postal_code": "544189663",
"country_code": "US",
"telephone_number": "715-216-4456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHLER",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"credential": "MS,RD,CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-10",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "706843",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "St.Mary'sHospital",
"affiliation": "N",
"endpointDescription": "2251 N. Shore Drive Rhinelander, WI",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2251 N Shore Dr",
"city": "Rhinelander",
"state": "WI",
"country_code": "US",
"postal_code": "545016710",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Self",
"affiliation": "N",
"address_1": "N4517 Price Polar Rd",
"city": "Bryant",
"state": "WI",
"country_code": "US",
"postal_code": "544189663",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.