Mary Lynn Kardell, RD, LMNT

Primary specialty

NutritionistTaxonomy code 133N00000X

License

742 Issued in NE

Practice address

21919 Pierce Cir
Elkhorn, NE 68022-1709

Phone

(402) 630-7415

Fax

(844) 755-6400

NPI assigned

May 23, 2007

Last updated

Apr 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1518177112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21919 PIERCE CIR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221709",
            "telephone_number": "402-630-7415",
            "fax_number": "844-755-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21919 PIERCE CIR",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680221709",
            "telephone_number": "402-630-7415",
            "fax_number": "844-755-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 Pacific St.",
            "address_2": "Suite #10",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68130",
            "country_code": "US",
            "telephone_number": "402-390-6007",
            "fax_number": "866-287-8592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARDELL",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "RD, LMNT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NE",
            "license": "742",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "726190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.