Active NPI
Jessica Ann Wegener, RD
- Registered Dietitian
- Omaha, NE
National Provider Identifier
1467684092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 720
- Practice address
- 13809 Industrial Rd
Omaha, NE 68137-1117 - Phone
- (480) 208-0418
- NPI assigned
- Aug 15, 2009
- Last updated
- Oct 4, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | ||
| Registered Dietitian | 133V00000X | 720 | NE | Primary |
Addresses
Primary practice location
13809 Industrial Rd
Omaha, NE 68137-1117
Mailing address
23514 Lakeview St
Elkhorn, NE 68022-4381
Phone (402) 669-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Nutrition of Omaha LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
11414 W Center Rd
Ste 321
Omaha, NE 68144
Phone (402) 669-2705
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1467684092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23514 LAKEVIEW ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680224381",
"telephone_number": "402-669-2705",
"fax_number": "402-932-6878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13809 INDUSTRIAL RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371117",
"telephone_number": "480-208-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGENER",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-15",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "720",
"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 Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.