Dian Forrester Koelzer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

499424 Issued in CA

Practice address

2155 Iron Point Rd
Folsom, CA 95630-8707

Phone

(916) 817-5659

NPI assigned

Sep 6, 2006

Last updated

Jul 11, 2007By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1609979772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308707",
            "telephone_number": "916-817-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308707",
            "telephone_number": "916-817-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELZER",
        "first_name": "DIAN",
        "middle_name": "FORRESTER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "499424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KMH Imaging, Inc (Bright Path Imaging)
• Jennifer Knight
• Elizabeth Knochenhauer
• Kimberly Knudsen
• Seema Kochhar, MD
• William Harry Koett, DDS
• Martha L. Kohler, L.C.S.W.
• Kristin Noelle Koller, LMFT, MS
• Anna Komissarova
• Elizabeth Joanne Koontz

• Family Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.