Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy D Kotansky, MS, RD, CDCES, LD

Individual provider Registered Dietitian · NPI 1962413682

Amy D Kotansky, MS, RD, CDCES, LD is a Registered Dietitian in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

5230 E Stop 11 RD Ste 150
Indianapolis, IN 46237-6399
Phone: (317) 865-5904
Fax: (317) 865-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37000390A (IN)
Registered Dietitian Taxonomy 133V00000X · Licence 711259 (IN)

Record details

NPI number1962413682
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CDCES , LD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing addressPo Box 781076, Detroit, MI 48278-3629

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