Charlene M. Dorcey, RD, LMNT, CDE
Individual provider Active NPI Registered Dietitian · York, NE
NPI 1851344832 · NPPES record last updated Jul 28, 2010
Key facts
- NPI
- 1851344832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 701681 (NE)
- Practice address
- 2114 N Lincoln Ave
Suite a
York, NE 68467-1028 - Phone
- (402) 362-5555
- Fax
- (402) 362-7137
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51 | NE | MD | Mental Health Counselor |
| 701681 | NE | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 701681 | NE | Yes |
Addresses
Primary practice location
2114 N Lincoln Ave
Suite a
York, NE 68467-1028
Mailing address
2114 N Lincoln Ave
Suite a
York, NE 68467-1028
Phone (402) 362-5555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47077294513 | Medicaid | NE | |
| 701681 | Other | NE | REGISTERED DIETITIAN |
| 0982-0113 | Other | NE | CERITIFIED DIABETES EDUCA |
| 51 | Other | NE | MED NUTRITION THERAPIST |
| 274792 | Other | NE | PTAN |
Other providers in York, NE
- Becky Jo Deprez
- Melanie Nicole Dickey
- Jill Marie Dlugosh
- Nancy Ann Dob
- Allison Rose Donnelly
- Amy Doremus
- Stacey Drake
- Renee L Duffek
- David Dyer
- E. Jones, LLC
All providers in York, NE · Registered Dietitian in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.