Active NPI
Chanel Kerschbaum, RD, CPT
- Registered Dietitian
- Kalamazoo, MI
National Provider Identifier
1316019557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5886 Venture Park
Kalamazoo, MI 49009-1848 - Phone
- (269) 845-2558
- NPI assigned
- Nov 14, 2006
- 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 | Primary |
Addresses
Primary practice location
5886 Venture Park
Kalamazoo, MI 49009-1848
Mailing address
220 Fairway CT
Plainwell, MI 49080-9122
Phone (269) 845-2558
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296432000000",
"number": "1316019557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 FAIRWAY CT",
"city": "PLAINWELL",
"state": "MI",
"postal_code": "490809122",
"telephone_number": "269-845-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5886 VENTURE PARK",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490091848",
"telephone_number": "269-845-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSCHBAUM",
"first_name": "CHANEL",
"credential": "RD, CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2011-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.