Active NPI
Life Cycle Nutrition LLC
- Registered Dietitian
- Omaha, NE
National Provider Identifier
1952894875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- LIFE CYCLE NUTRITION LLC
- Practice address
- 11329 P St Ste 126
Omaha, NE 68137-2315 - Phone
- (402) 509-3500
- NPI assigned
- Jun 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krista Godfrey, RD
- Title
- Registered Dietitian, Owner
- Phone
- (402) 509-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
11329 P St Ste 126
Omaha, NE 68137-2315
Mailing address
2524 S 138TH St
Omaha, NE 68144-2452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9202 W Dodge Rd
Ste 110
Omaha, NE 68114
Phone (402) 509-3500
9202 W Dodge Rd
Omaha, NE 68114
Phone (402) 397-3636
11329 P St
Ste 126
Omaha, NE 68137
Phone (402) 509-3500
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nutrition Registered Dietitian
- Omaha, NE
- NPI 1508134560
-
- Registered Dietitian
- Lincoln, NE
- NPI 1558877472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528934400000",
"number": "1952894875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2524 S 138TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11329 P ST STE 126",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372315",
"telephone_number": "402-509-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CYCLE NUTRITION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-14",
"last_updated": "2018-06-14",
"status": "A",
"authorized_official_last_name": "GODFREY",
"authorized_official_first_name": "KRISTA",
"authorized_official_title_or_position": "REGISTERED DIETITIAN, OWNER",
"authorized_official_telephone_number": "402-509-3500",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Jun 14, 2018; 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.