Active NPI
Qiushi Fan, M.M.N., B.MED., RDN
- Registered Dietitian
- Omaha, NE
National Provider Identifier
1922929645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86374030
- Practice address
- Fred & Pamela Buffett Cancer Center, 505 S 45TH St
8.12.391
Omaha, NE 68106-6861 - Phone
- (402) 559-5600
- NPI assigned
- Jul 21, 2026
- 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 | 86374030 | NE | Primary |
Addresses
Primary practice location
Fred & Pamela Buffett Cancer Center, 505 S 45TH St
8.12.391
Omaha, NE 68106-6861
Mailing address
836 Park Ave Apt 304
Omaha, NE 68105-2173
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1922929645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 PARK AVE APT 304",
"city": "OMAHA",
"state": "NE",
"postal_code": "681052173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FRED & PAMELA BUFFETT CANCER CENTER, 505 S 45TH ST",
"address_2": "8.12.391",
"city": "OMAHA",
"state": "NE",
"postal_code": "681066861",
"telephone_number": "402-559-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "QIUSHI",
"name_prefix": "Ms.",
"credential": "M.M.N., B.MED., RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "86374030",
"primary": true
}
],
"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 Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.