Andrea Catherine Kohlmeyer, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1025304 Issued in IN

Practice address

2340 E 350 S
Princeton, IN 47670

Phone

(812) 598-0993

NPI assigned

Oct 19, 2011

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

• Miss Andrea Catherine Wilzbacher Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1376828616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E 350 S",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "47670",
            "telephone_number": "812-598-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E 350 S",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "47670",
            "telephone_number": "812-598-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLMEYER",
        "first_name": "ANDREA",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "1025304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "andreardn1@gmail.com",
            "affiliation": "N",
            "address_1": "2340 E 350 S",
            "city": "Princeton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476708738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WILZBACHER",
            "middle_name": "CATHERINE",
            "prefix": "MISS",
            "credential": "R.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Kermode, RPH
• Maci Kissel
• Katherine M Klump, PT
• Sarah A Koehler, AGPNP
• Jillian Koester, OTR
• Donna Kozar, MD
• Emily B Krajec, D.O.
• Tonya L Krieg, NP
• Arun C Kumar, M.D.
• Lamb Chiropractic Clinic, PC

• All providers in Princeton, IN
• Registered Dietitian in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.