Karan Marie Kershner, RD,LD

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

DT82686 Issued in TX

Practice address

124 Amy CT
Collinsville, TX 76233-5413

Phone

(817) 320-9823

NPI assigned

Aug 5, 2013

Last updated

Aug 5, 2013By the provider in NPPES

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

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1497187157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 AMY CT",
            "city": "COLLINSVILLE",
            "state": "TX",
            "postal_code": "762335413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 AMY CT",
            "city": "COLLINSVILLE",
            "state": "TX",
            "postal_code": "762335413",
            "telephone_number": "817-320-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHNER",
        "first_name": "KARAN",
        "middle_name": "MARIE",
        "credential": "RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "TX",
            "license": "DT82686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collinsville Long Term Care, LLC (Homestead Nursing and Rehabilitation of Collinsville)
• Amy Sue Haverkamp, OTA
• Jack County Hospital District (Homestead Nursing and Rehabilitation of Collinsville)
• Julie Stewart
• Cameron Kenney, PTA
• Jessica Elaine Lierly
• Pyramid Healthcare Corp. (Collinsville Care Center)
• Patricia Louise Schmidt, OTR
• Julie Ann Stewart, PT, MPT
• Jill Marie Trahan, LVN

• Nutrition Education Nutritionist in Collinsville, TX
• Providers in Collinsville, TX by specialty
• Nutrition Education Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.