Stephanie Ann Feltus, RDN, LMNT, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

634 Issued in NE

Practice address

4611 S 96TH St Ste 237
Omaha, NE 68127-1243

Phone

(402) 312-0124

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stephanie Ann Minor, Mully Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nutrition Specialists Professional Corporation

  • Registered Dietitian
  • Omaha, NE
  • NPI 1780469320

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1174098024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16123 SPRING ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302031",
            "telephone_number": "402-312-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 S 96TH ST STE 237",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271243",
            "telephone_number": "402-312-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTUS",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "RDN, LMNT, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN",
            "identifier": "01484",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL NUTRITION THERAPY",
            "identifier": "634",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MINOR, MULLY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen M Felt, O.D.
• William Feltes, LMHP
• Lisa Felthauser, RN
• Jeannie Feltner
• Angela Yvonne Felton-Coleman, APRN
• Andrea Fender
• Lawrence Feng, MD
• Liqun Feng
• Keturah Fenicle, CSS
• Brandy Fenimore, M.S., LIMHP, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.