Christine Ellen Douglas, RD, LMNT, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

458 Issued in NE

Practice address

505 S. Burg Street
Kimball Health Services at
Kimball, NE 69145

Phone

(308) 235-1966

Fax

(308) 235-1957

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Christine Ellen Hraban Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1164843504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S. BURG STREET",
            "address_2": "KIMBALL HEALTH SERVICES AT",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "69145",
            "telephone_number": "308-235-1966",
            "fax_number": "308-235-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S. BURG STREET",
            "address_2": "KIMBALL HEALTH SERVICES AT",
            "city": "KIMBALL",
            "state": "NE",
            "postal_code": "69145",
            "telephone_number": "308-235-1966",
            "fax_number": "308-235-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CHRISTINE",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "RD, LMNT, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "458",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WY",
            "license": "022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HRABAN",
            "middle_name": "ELLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Dietitian in Kimball, NE
• Providers in Kimball, NE by specialty
• Registered Dietitian in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.