Active NPI
Danae Lewis
- Nutritionist
- Omaha, NE
National Provider Identifier
1225947096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 978AN1105
- Practice address
- 4311 Grand Ave
Omaha, NE 68111-1854 - Phone
- (712) 820-9447
- NPI assigned
- Sep 5, 2026
- 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 | 978AN1105 | IA | Primary |
Addresses
Primary practice location
4311 Grand Ave
Omaha, NE 68111-1854
Mailing address
1925 Parkwild Dr Apt 67
Council Bluffs, IA 51503-1879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1225947096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 PARKWILD DR APT 67",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515031879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 GRAND AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681111854",
"telephone_number": "712-820-9447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DANAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-05",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IA",
"license": "978AN1105",
"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 Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.