Amanda R Koerselman, RD, CSR, CNSC, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

01507 Issued in IA

Practice address

1111 6TH Ave FL 4
Des Moines, IA 50314-2610

Phone

(515) 643-3422

Fax

(515) 643-8820

NPI assigned

Dec 21, 2023

Last updated

Dec 21, 2023By 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)

Not enrolled

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1710756598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE FL 4",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142610",
            "telephone_number": "515-643-3422",
            "fax_number": "515-643-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE FL 4",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142610",
            "telephone_number": "515-643-3422",
            "fax_number": "515-643-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503091406",
            "country_code": "US",
            "telephone_number": "515-241-6212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOERSELMAN",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "RD, CSR, CNSC, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "01507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Jane Koele-Schmidt, M.D.
• Jeffrey Lynn Koenen, O.D.
• Caroline E Koenig, PHARMD.
• William Carl Koenig Jr., M.D.
• Carrie Foust Koenigsfeld, PHARM.D.
• John Mark Koester, D.O.
• Alexis Koethe, DO
• Erik Kohl, MA
• Dena Kohler
• Philip Henry Kohler, MD

• Registered Dietitian in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.