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SIMON KNOBLAUCH
NPI 1205650553
Dietitian, Registered - Nutrition, Obesity and Weight Management in Des Moines, IA

Active since November 13, 2024
5901 THORNTON AVE, DES MOINES, IA 50321(515) 327-2000 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Simon Knoblauch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMON KNOBLAUCH (NPI 1205650553) is an individual nutrition, obesity and weight management provider in Des Moines, Iowa, licensed in Iowa (86154782) and active in the NPI registry since November 2024. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1205650553
Entity TypeIndividualMale
Primary Taxonomy133VN1201X
Provider Legal NameSIMON KNOBLAUCH
Location Address5901 THORNTON AVEDes Moines, IA 50321-2422
Mailing Address5901 Thornton AveDes Moines, IA 50321-2422 · (515) 327-2000
Phone(515) 327-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1205650553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
License✔ Licensed in IA · 86154782
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
5901 THORNTON AVE, Des Moines, IA 50321
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Knoblauch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072002880
PECOS Enrollment IDI20251031000487

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE MARIE NEKVINDA
Dietitian, Registered
5901 THORNTON AVE
DES MOINES, IA 50321
Polk County (515) 327-2000
MRS. MARIA THERESA LATOJA-LOVAN ARNP
Nurse Practitioner (Family)
5901 THORNTON AVE
DES MOINES, IA 50321
Polk County (844) 474-4321
SIDNEIGH O'LEARY
Dietitian, Registered
5901 THORNTON AVE
DES MOINES, IA 50321
Polk County (515) 327-2000
DR. JAVIER LISBOA DNP
Nurse Practitioner
5901 THORNTON AVE
DES MOINES, IA 50321
Polk County (515) 327-2000
JULIE YOUNT ARNP
Nurse Practitioner (Adult Health)
5901 THORNTON AVE
DES MOINES, IA 50321
Polk County (515) 327-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simon Knoblauch's NPI number?

The NPI number for Simon Knoblauch is 1205650553. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Simon Knoblauch located?

Simon Knoblauch practices at 5901 Thornton Ave, Des Moines, IA 50321. The listed phone number is (515) 327-2000.

What is Simon Knoblauch's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Simon Knoblauch enrolled in Medicare?

Yes. Simon Knoblauch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simon Knoblauch was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.