Mary Lou Block, RDN LMNT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

755 Issued in NE

Practice address

78235 Road 411
Gothenburg, NE 69138-5116

Phone

(308) 529-3534

NPI assigned

Feb 12, 2021

Last updated

Feb 19, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1871186635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78235 ROAD 411",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691385116",
            "telephone_number": "308-529-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78235 ROAD 411",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691385116",
            "telephone_number": "308-529-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "MARY LOU",
        "name_prefix": "Mrs.",
        "credential": "RDN LMNT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Anne Anderson, ED.S, LMHP, LPC,
• Joanne Kay Atkinson
• Craig David Bartruff, M.D.
• Betty L Johnson (Nebraska Counseling Associates)
• Terese Ann Bevard
• Melissa Anne Brill, APRN FAMILY NURSE PR
• Hunter Brimm
• Sue Britt
• Carol Shackleton, M.D., P.C.
• Christopher P Costa MD PC (Costa Family Practice)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.