Active NPI
Anna Marie Sherman, RD, LD
- Registered Dietitian
- Omaha, NE
National Provider Identifier
1962772004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1477
- Practice address
- 11329 P St Ste 126
Omaha, NE 68137-2315 - Phone
- (402) 682-3056
- Fax
- (833) 407-1384
- NPI assigned
- Jan 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 099226 | IA | |
| Registered Dietitian | 133V00000X | 1477 | NE | Primary |
Addresses
Primary practice location
11329 P St Ste 126
Omaha, NE 68137-2315
Mailing address
814 Devon Dr
Papillion, NE 68046-3811
Phone (937) 361-4406
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099226 | IA | MD | Registered Dietitian |
| 1477 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Cycle Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
11329 P St
Ste 126
Omaha, NE 68137
Phone (402) 509-3500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1962772004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 DEVON DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463811",
"telephone_number": "937-361-4406"
},
{
"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": "402-682-3056",
"fax_number": "833-407-1384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "ANNA",
"middle_name": "MARIE",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-06",
"last_updated": "2021-05-03",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "099226",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "1477",
"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 May 3, 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.