Diane Renee Koeller, MS, MPH, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC323 Issued in MA

Practice address

450 Brookline Ave # D1041
Boston, MA 02215-5418

Phone

(617) 582-9386

Fax

(617) 582-9386

NPI assigned

Jul 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1164945259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE # DANA1041",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE # D1041",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-582-9386",
            "fax_number": "617-582-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELLER",
        "first_name": "DIANE",
        "middle_name": "RENEE",
        "credential": "MS, MPH, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MA",
            "license": "GC323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Koechlin, RPA-C
• Ashley Kern Koegel
• Susan Henry Koegler, R.N., M.S.
• Julia R Koehler, MD
• Rikki Marie Koehler, MD
• Maria S. Koen, NP
• Caroline Catherine Koenig, FNP-BC
• John Koenig, MD
• Julie L Koenig, MD
• Serena P Koenig, M.D.

• Genetic Counselor (M.S.) in Boston, MA
• Providers in Boston, MA by specialty
• Genetic Counselor (M.S.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.