Individual provider Active NPI

Kara C Kasson, RD

  • Registered Dietitian
  • Fremont, NE
National Provider Identifier
1861190506
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86032107 Issued in NE
Practice address
680 E Fremont Medical Park Dr
Fremont, NE 68025-2309
Phone
(402) 815-7843
NPI assigned
Feb 22, 2023
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86032107 NE Primary

Addresses

Primary practice location

680 E Fremont Medical Park Dr
Fremont, NE 68025-2309

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-5677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913002463 NE Practitioner - Registered Dietitian Or Nutrition Professional 5193189850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86032107NEMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic Inc CurrentSince Aug 14, 2023 Accepting new patients
Life Cycle Nutrition LLC Dietitian, Registered CurrentSince Jan 1, 2024 Accepting new patients

Locations

680 E Fremont Medical Park Dr
Fremont, NE 68025
Phone (402) 727-1091

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

7831 Chicago Ct
Omaha, NE 68114
Phone (402) 354-1230

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

9202 W Dodge Rd
Ste 110
Omaha, NE 68114
Phone (402) 509-3500

Organizations & group practices 2

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1861190506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E FREMONT MEDICAL PARK DR",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252309",
            "telephone_number": "402-815-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSON",
        "first_name": "KARA",
        "middle_name": "C",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "86032107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.