Kristen A Koman, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN002378 Issued in PA

Practice address

4200 State Rd
Ashtabula, OH 44004-6017

Phone

(440) 998-7515

Fax

(440) 998-0973

NPI assigned

Jul 8, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kristen A English 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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1922481936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 STATE RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046017",
            "telephone_number": "440-998-7515",
            "fax_number": "440-998-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 STATE RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046017",
            "telephone_number": "440-998-7515",
            "fax_number": "440-998-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAN",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.4030",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN002378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ashtabula",
            "affiliation": "N",
            "address_1": "4200 State Rd",
            "city": "Ashtabula",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440046017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ENGLISH",
            "middle_name": "A",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Michael Knight
• Henry Joseph Kobrinski Jr., PA-C
• Maria Koch
• Crystal Lynn Kohl
• Amy Michelle Kollhoff, RN
• Bonnie Sue Konczal
• Ashok V Kondru, M.D.
• Jennifer Vera Korth, M.A.,CCC-SLP
• Kaitlyn Koski
• Kimberly Dawn Koski, R.N.

• Registered Dietitian in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.