Active NPI
Kaslyn Rezac, MS, RD
- Registered Dietitian
- Omaha, NE
National Provider Identifier
1851048805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1600
- Practice address
- 16565 Locust St
Omaha, NE 68116-6104 - Phone
- (402) 689-4217
- NPI assigned
- Mar 9, 2022
- 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 | 1600 | NE | Primary |
Addresses
Primary practice location
16565 Locust St
Omaha, NE 68116-6104
Mailing address
16565 Locust St
Omaha, NE 68116-6104
Phone (402) 689-4217
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kaslyn@nutritionwithkaslyn.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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1851048805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16565 LOCUST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681166104",
"telephone_number": "402-689-4217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16565 LOCUST ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681166104",
"telephone_number": "402-689-4217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZAC",
"first_name": "KASLYN",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "1600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kaslyn@nutritionwithkaslyn.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16565 Locust St",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "681166104",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.