Dietrick Todd Stukenholtz

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1240 N 19TH St
Nebraska City, NE 68410-1119

Phone

(402) 209-3914

NPI assigned

Jul 25, 2025

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1609758903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S 64TH RD",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684106822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N 19TH ST",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684101119",
            "telephone_number": "402-209-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKENHOLTZ",
        "first_name": "DIETRICK",
        "middle_name": "TODD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean P. Stanek, LIMHP, LADC
• Kelsie Lea Stovall
• Taneesha Lynn Strackbein
• Wanda Jean Straw
• Loretta Ann Street
• Stephanie Mae Stukenholtz
• Stacey Ann Swan, MS PLMHP
• Swfac PLC (Southwest Foot and Ankle Center)
• Talking Tulips Psychotherapy
• Natalie Ann Teeters

• Health & Wellness Coach in Nebraska City, NE
• Providers in Nebraska City, NE by specialty
• Health & Wellness Coach in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.