NPIMap

Organization Active NPI

Sage Nutrition LLC

  • Clinic/Center
  • Lincoln, NE
National Provider Identifier
1144732728
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAGE NUTRITION LLC
Practice address
2917 Pine Lake Rd Ste E
Lincoln, NE 68516-6032
Phone
(866) 818-7481
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Elizabeth Baker, RDNNPI 1326607060
Title
Dietitian
Phone
(402) 202-3617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2917 Pine Lake Rd Ste E
Lincoln, NE 68516-6032

Mailing address

853 Norwood Dr
Lincoln, NE 68512-2114

National Provider Directory

National Provider Directory

Locations

2917 Pine Lake Rd
Ste E
Lincoln, NE 68516
Phone (402) 417-9264

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1144732728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 NORWOOD DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685122114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 PINE LAKE RD STE E",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166032",
            "telephone_number": "866-818-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "402-202-3617",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.