Jake F Blattner, MS, RD, CSSD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

Practice address

800 Stadium Dr
Lincoln, NE 68588-0030

Phone

(507) 696-5935

NPI assigned

Sep 3, 2025

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1245110022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7858 CREEK VIEW DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163843",
            "telephone_number": "507-696-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STADIUM DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685880030",
            "telephone_number": "507-696-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTNER",
        "first_name": "JAKE",
        "middle_name": "F",
        "credential": "MS, RD, CSSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Haiveen Haji Blasiny
• Maysaa Khalil Khedhr Blasiny
• Mumtaz Blasiny
• John Blatchford
• Jared Blauvelt
• Hser Tha Blay
• Denise Blazek
• Alex Michael Blecher
• Bob J Bleicher, M.D.

• Sports Dietetics Nutrition Registered Dietitian in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Sports Dietetics Nutrition Registered Dietitian in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.