Individual provider Active NPI

Laura Johansen, MS, RD, LMNT

  • Registered Dietitian
  • Omaha, NE
National Provider Identifier
1437561511
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1140 Issued in NE
Practice address
3410 N 156TH St
Omaha, NE 68116-2020
Phone
(402) 493-0390
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1140 NE Primary

Addresses

Primary practice location

3410 N 156TH St
Omaha, NE 68116-2020

Mailing address

3410 N 156TH St
Omaha, NE 68116-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140822001639 NE Practitioner - Registered Dietitian Or Nutrition Professional 5698993285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hy-Vee Health PCGroup PAC ID 1254701618, 43 clinicians

Practice addresses (Care Compare)

10810 Farnam Dr
Suite 110
Omaha, NE 68154-3256
Phone (515) 695-3121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1140NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Health PC CurrentSince Mar 26, 2024 Accepting new patients
Hy-Vee Health PC Dietitian, Registered CurrentSince Mar 26, 2024 Accepting new patients
Hy-Vee Health PC Past Accepting new patients

Locations

5820 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 453-2784

3410 N 156th St
Omaha, NE 68116
Phone (402) 493-0390

10808 Fort St
Omaha, NE 68164
Phone (402) 493-2089

11837 Miracle Hills Dr
Ste 100
Omaha, NE 68154
Phone (402) 413-9933

10810 Farnam Dr
Ste 110
Omaha, NE 68154
Phone (531) 484-3158

11650 S 73rd St
Papillion, NE 68046
Phone (402) 597-5056

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1437561511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 N 156TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 N 156TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681162020",
            "telephone_number": "402-493-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "LAURA",
        "credential": "MS, RD, LMNT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "1140",
            "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 Dec 30, 2015; 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.