Kimberly Ann Mausbach, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

350 Issued in NE

Practice address

13003 Eagle St
Omaha, NE 68142-5191

Phone

(402) 595-0072

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Cycle Nutrition LLCGroup PAC ID 3375891435, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Cycle Nutrition LLC

  • Registered Dietitian
  • Omaha, NE
  • NPI 1952894875

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1831966860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 EAGLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681425191",
            "telephone_number": "402-595-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 EAGLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681425191",
            "telephone_number": "402-595-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUSBACH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold M Maurer, MD
• Michelle Irene Maurer, LIMHP, CPC
• Samuel Adam Maurice
• Pamela Marie Mauro
• Steven Craig Maurstad, DDS
• Michelle L Mausolf
• Maverick Family Chiropractic, LLC (Loveland Family Chiropractic)
• Catelyn Maves, ATC, LAT
• Krystin Mavity
• Kalina K Mavrov

• Registered Dietitian in Omaha, NE
• Providers in Omaha, NE by specialty
• Registered Dietitian in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.