Active NPI
Deborah Elizabeth Willcox, MNT
- Nutritionist
- Fremont, NE
National Provider Identifier
1124301494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 815
- Practice address
- 450 E 23Rd St
Fremont, NE 68025-2303 - Phone
- (402) 727-3726
- Fax
- (402) 727-3584
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 815 | NE | Primary |
Addresses
Primary practice location
450 E 23Rd St
Fremont, NE 68025-2303
Mailing address
825 S 169TH St
Omaha, NE 68118-9300
Phone (402) 354-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 815 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1124301494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S 169TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681189300",
"telephone_number": "402-354-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252303",
"telephone_number": "402-727-3726",
"fax_number": "402-727-3584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLCOX",
"first_name": "DEBORAH",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NE",
"license": "815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.