NPIMap

Organization Active NPI

Positive Nutrition of Omaha LLC

  • Registered Dietitian
  • Omaha, NE
National Provider Identifier
1730914946
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
POSITIVE NUTRITION OF OMAHA LLC
Practice address
11414 W Center Rd Ste 321
Omaha, NE 68144-4420
Phone
(402) 669-2705
NPI assigned
Sep 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Jessica Ann Wegener, RD, CSSD, LMNTNPI 1467684092
Title
Owner
Phone
(402) 669-2705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

11414 W Center Rd Ste 321
Omaha, NE 68144-4420

Mailing address

11414 W Center Rd Ste 321
Omaha, NE 68144-4420
Phone (402) 669-2705

Other names 1

  • Positive Nutrition of Omaha LLC Other name

National Provider Directory

National Provider Directory

Locations

11414 W Center Rd
Ste 122
Omaha, NE 68144

11414 W Center Rd
Ste 321
Omaha, NE 68144
Phone (402) 305-2222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1730914946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 321",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444420",
            "telephone_number": "402-669-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11414 W CENTER RD STE 321",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681444420",
            "telephone_number": "402-669-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE NUTRITION OF OMAHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "WEGENER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-669-2705",
        "authorized_official_credential": "RD, CSSD, LMNT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Nutrition of Omaha LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 6, 2024; 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.