Active NPI
Teri Grace Lee, LMNT.RD
- Registered Dietitian
- Papillion, NE
National Provider Identifier
1760031371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 764
- Practice address
- 807 Cody Cir
Papillion, NE 68046-3747 - Phone
- (402) 331-4943
- NPI assigned
- Sep 6, 2019
- 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 | 764 | NE | Primary |
Addresses
Primary practice location
807 Cody Cir
Papillion, NE 68046-3747
Mailing address
807 Cody Cir
Papillion, NE 68046-3747
Phone (402) 990-9292
Other practice location 1
3763 39th Ave Ste 400
Columbus, NE 68601-4530
Phone (402) 563-1032
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | teri.lee@eznutritionconsulting.com | Direct |
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 |
|---|---|---|---|
| 764 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez Nutrition Consulting, PC | Dietitian, Registered | 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": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1760031371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 CODY CIR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463747",
"telephone_number": "402-990-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 CODY CIR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463747",
"telephone_number": "402-331-4943"
}
],
"practiceLocations": [
{
"address_1": "3763 39th Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "NE",
"postal_code": "686014530",
"country_code": "US",
"telephone_number": "402-563-1032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "TERI",
"middle_name": "GRACE",
"credential": "LMNT.RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "764",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "teri.lee@eznutritionconsulting.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "papillion",
"address_1": "807 Cody Cir",
"city": "Papillion",
"state": "NE",
"country_code": "US",
"postal_code": "680463747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.