Pioneer Totaltrade Medical Alarm Medical Nutrition Therapy Systems, LL

Primary specialty

NutritionistTaxonomy code 133N00000X

License

752 Issued in NE

Legal business name

PIONEER TOTALTRADE MEDICAL ALARM MEDICAL NUTRITION THERAPY SYSTEMS, LL

Practice address

2505 N 24TH St
Ste 310
Omaha, NE 68110-2252

Phone

(402) 403-5700

Fax

(888) 550-3609

NPI assigned

Jul 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Raphael Adams Ovonlen, LMNT

Title

Ceo

Phone

(402) 403-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1235360033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N 24TH ST",
            "address_2": "STE 310",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681102252",
            "telephone_number": "402-403-5700",
            "fax_number": "888-550-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N 24TH ST",
            "address_2": "STE 310",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681102252",
            "telephone_number": "402-403-5700",
            "fax_number": "888-550-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER TOTALTRADE MEDICAL ALARM MEDICAL NUTRITION THERAPY SYSTEMS, LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "OVONLEN",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-403-5700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMNT"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": "NE",
            "license": "752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kodjovi Adodo Pinto-Keko, BSW
• Angel Pinto
• Michelle Pinto
• Pioneer Ambulance Service, LLC
• Pioneer Metro Ambulance LLC
• Suzanne F Piotrowski, MENTAL HEALTH THERAP
• Brian Piper
• Haley Piper
• Larry S Piper I, DDS
• Renee Marie Piper, DDS

• Nutritionist in Omaha, NE
• Providers in Omaha, NE by specialty
• Nutritionist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.