Amy Lynn Broxterman, MS, RD, LD, CNSC
Individual provider Active NPI Registered Dietitian · Olathe, KS
NPI 1497004121 · NPPES record last updated Sep 10, 2012
Key facts
- NPI
- 1497004121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 1356 (KS)
- Practice address
- 20333 W 151St St
Olathe, KS 66061-5350 - Phone
- (913) 791-3500
- NPI assigned
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1356 | KS | MD | Cognitive & Behavioral Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1356 | KS | Yes |
Addresses
Primary practice location
20333 W 151St St
Olathe, KS 66061-5350
Mailing address
20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 791-3500
Other providers in Olathe, KS
- Richard D Brown
- Scott R Brown
- Shelby Brown
- Tammy Brown
- Abby Renee Browning
- Josie K Broxterman
- Kristina Mares-Angst Broyles
- Bruce Snider MD PA
- Danielle M Bruggemann
- Caroline Claudette Brumant
All providers in Olathe, KS · Registered Dietitian in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.