Nichol Michelle Kubiak, RD, CSSD, LMNT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1238 Issued in NE

Practice address

7305 Main St
Ralston, NE 68127-3913

Phone

(402) 614-5362

NPI assigned

Nov 18, 2015

Last updated

Nov 18, 2015By 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)

Enrolled

State licenses

Practice roles

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.

• Oneworld Community Health Centers, Inc.

  • Community Health Clinic/Center
  • Omaha, NE
  • NPI 1538417290
  NPD (past)

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1982078622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 MAIN ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681273913",
            "telephone_number": "402-614-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 MAIN ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681273913",
            "telephone_number": "402-614-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "NICHOL",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RD, CSSD, LMNT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "1238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendpouire Kabore
• Kari Kensinger, PH.D., CTRS, CAS
• Mary Kitzman-Prismantas
• Tammy Louise Klug
• Jeremy Knobbe
• Susan Larson
• Julia Laursen
• Kathryn Jeanne Leffers
• Jenifer Lemon
• Michael James Loftus

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.