Active NPI
Jean R Brozek, RD LMNT
- Registered Dietitian
- Lincoln, NE
National Provider Identifier
1578851408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 28
- Practice address
- 1708 Benton St
Lincoln, NE 68521-1636 - Phone
- (402) 435-7653
- Fax
- (402) 435-7653
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 28 | NE | Primary |
Addresses
Primary practice location
1708 Benton St
Lincoln, NE 68521-1636
Mailing address
1708 Benton St
Lincoln, NE 68521-1636
Phone (402) 435-7653
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 |
|---|---|---|---|
| 28 | NE | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1578851408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 BENTON ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211636",
"telephone_number": "402-435-7653",
"fax_number": "402-435-7653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 BENTON ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211636",
"telephone_number": "402-435-7653",
"fax_number": "402-435-7653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROZEK",
"first_name": "JEAN",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "RD LMNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "28",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.