Individual provider Active NPI

Ruth Louise Nekonchuk, RD, CDE, LMNT

  • Registered Dietitian
  • Omaha, NE
National Provider Identifier
1639372592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
236 Issued in NE
Practice address
8601 W Dodge Rd
Suite # 30
Omaha, NE 68114-3457
Phone
(402) 354-8797
Fax
(402) 354-5651
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 236 NE Primary

Addresses

Primary practice location

8601 W Dodge Rd
Suite # 30
Omaha, NE 68114-3457

Mailing address

3111 S 159TH St
Omaha, NE 68130-1932
Phone (402) 334-2660

Other identifiers 1

IdentifierTypeStateIssuer
236OtherNERD, LMNT

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
236NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639372592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 S 159TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301932",
            "telephone_number": "402-334-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 W DODGE RD",
            "address_2": "SUITE # 30",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143457",
            "telephone_number": "402-354-8797",
            "fax_number": "402-354-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKONCHUK",
        "first_name": "RUTH",
        "middle_name": "LOUISE",
        "credential": "RD, CDE, LMNT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RD, LMNT",
            "identifier": "236",
            "state": "NE"
        }
    ],
    "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 Jul 8, 2007; 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.