Active NPI
Laura Johansen, MS, RD, LMNT
- Registered Dietitian
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1140
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1140 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Health PC | Current | Accepting new patients | |
| Hy-Vee Health PC | Dietitian, Registered | Current | 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.
-
- Internal Medicine Physician
- West Des Moines, IA
- NPI 1558086637
-
- Internal Medicine Physician
- Madison, WI
- NPI 1255105060
-
- Internal Medicine Physician
- Sioux Falls, SD
- NPI 1588419881
-
- Registered Dietitian
- Chicago, IL
- NPI 1629844568
-
- Registered Dietitian
- Liberty, MO
- NPI 1669248506
-
- Internal Medicine Physician
- Eagan, MN
- NPI 1730953548
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1992491732
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.