Active NPI
Karen Loree McWilliams, RD.CDE.LMNT
- Registered Dietitian
- Lincoln, NE
National Provider Identifier
1952555260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 17
- Practice address
- 2861 Wagon Drive
Lincoln, NE 68507 - Phone
- (402) 880-7889
- NPI assigned
- Nov 13, 2008
- Last updated
- Jun 10, 2021
- 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 | 17 | NE | Primary |
Addresses
Primary practice location
2861 Wagon Drive
Lincoln, NE 68507
Mailing address
2861 Wagon Drive
Lincoln, NE 68507
Phone (402) 880-7889
Other practice location 1
101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 252-9602
Other practice location 2
101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 252-9602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17 | Other | NE | NEBRASKA LICENSE. RD |
Other names 1
- Karen Loree Benson
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17 | NE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| PHC of Buffalo Grove Clinical Psychology | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.karenmcwiliams@146897.advancedmd-direct.com
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.
-
dba Portrait Health Centers
- Psychologist
- Vernon Hills, IL
- NPI 1235430612
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1952555260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 WAGON DRIVE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68507",
"telephone_number": "402-880-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 WAGON DRIVE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68507",
"telephone_number": "402-880-7889"
}
],
"practiceLocations": [
{
"address_1": "101 W 8th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042307",
"country_code": "US",
"telephone_number": "509-252-9602",
"fax_number": "509-227-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W 8th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042307",
"country_code": "US",
"telephone_number": "509-252-9602",
"fax_number": "509-227-7070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "KAREN",
"middle_name": "LOREE",
"name_prefix": "Ms.",
"credential": "RD.CDE.LMNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "17",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEBRASKA LICENSE. RD",
"identifier": "17",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "BENSON",
"middle_name": "LOREE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lincoln, NE
- Joseph Patrick McTygue, APRN-NP
- Cindy McVicker
- Brandon C McWilliams, PLMHP
- Christopher M McWilliams, PA C
- Eleanor R McWilliams
- MD Hoefs DDS PC
- MD Pain LLC
- Mdhoefs DDS PC
- Me Urgent Care Nebraska, Inc (MedExpress Urgent Care - Lincoln, N 26th St)
- Me Urgent Care Nebraska, Inc (MedExpress Urgent Care - Lincoln, Village Dr)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.