Individual provider Active NPI

Mary Teresa Stuhr, RD, LD, LMNT, CDE

  • Registered Dietitian
  • Omaha, NE
National Provider Identifier
1841612611
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1124 Issued in NE
Practice address
2910 S 84TH St
Omaha, NE 68124-3213
Phone
(402) 399-0777
NPI assigned
Jan 14, 2014
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1124 NE Primary
Registered Dietitian 133V00000X 706 IA

Addresses

Primary practice location

2910 S 84TH St
Omaha, NE 68124-3213

Mailing address

110 Woodridge CT
Council Bluffs, IA 51503-8425
Phone (402) 740-3423

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00706IAMDPsychologist
706IAMDAudiologist-Hearing Aid Fitter
1124NEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Supply Center of the Midlands LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1841612611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WOODRIDGE CT",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515038425",
            "telephone_number": "402-740-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243213",
            "telephone_number": "402-399-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUHR",
        "first_name": "MARY",
        "middle_name": "TERESA",
        "credential": "RD, LD, LMNT, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "1124",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "706",
            "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 Jan 14, 2014; 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.