Kathleen K Brockman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

109 Issued in NE

Practice address

555 S 70TH St
Lincoln, NE 68510-2462

Phone

(402) 219-7363

Fax

(402) 219-8986

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

• Kathleen K McGuire Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689784134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 BEECHWOOD DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102614",
            "telephone_number": "402-488-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102462",
            "telephone_number": "402-219-7363",
            "fax_number": "402-219-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "KATHLEEN",
        "middle_name": "K",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MCGUIRE",
            "middle_name": "K",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Rae Brock, CNA,
• Rachel Lauren Brock, D.O.
• Victoria Brock, LIMHP, LADC, CPC
• David L Brockman, DDS,MS
• Indra Anita Brockman, PLMHP
• Katlin Brockman
• Bridget Brodecky, A.P.R.N.
• Sarah Elizabeth Broderson, APRN
• Theresa Michelle Brodeur, PA-C
• Crystal Brodhagen

• All providers in Lincoln, NE
• Registered Dietitian in Nebraska

• 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.