Individual provider Active NPI

Lanita Knoke, RN

  • Nutrition Support Registered Nurse
  • Omaha, NE
National Provider Identifier
1134059355
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support Registered NurseTaxonomy code 163WN1003X
License
075872 Issued in IA
Practice address
17010 Wright PLZ Ste 145
Omaha, NE 68130-4659
Phone
(402) 670-9097
NPI assigned
May 20, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Registered Nurse 163WN1003X 075872 IA Primary

Addresses

Primary practice location

17010 Wright PLZ Ste 145
Omaha, NE 68130-4659

Mailing address

208 Augusta Dr
Treynor, IA 51575-7366
Phone (402) 670-9097

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
075872IAMDNutrition Support Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1134059355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 AUGUSTA DR",
            "city": "TREYNOR",
            "state": "IA",
            "postal_code": "515757366",
            "telephone_number": "402-670-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17010 WRIGHT PLZ STE 145",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304659",
            "telephone_number": "402-670-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOKE",
        "first_name": "LANITA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "IA",
            "license": "075872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.