Active NPI
Carly Shapiro, RD, CLC
- Registered Dietitian
- Omaha, NE
National Provider Identifier
1770475204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86046262
- Practice address
- 2712 N 65TH Ave
Omaha, NE 68104-3915 - Phone
- (608) 341-7836
- NPI assigned
- Jul 18, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86046262 | Primary | |
| Lactation Consultant (Non-RN) | 174N00000X | 352680 |
Addresses
Primary practice location
2712 N 65TH Ave
Omaha, NE 68104-3915
Mailing address
2712 N 65TH Ave
Omaha, NE 68104-3915
Phone (608) 341-7836
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1770475204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 N 65TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043915",
"telephone_number": "608-341-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2712 N 65TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681043915",
"telephone_number": "608-341-7836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "CARLY",
"credential": "RD, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-18",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86046262",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "352680",
"primary": false
}
],
"identifiers": [],
"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 18, 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.