Marti Siebrandt, RDN
Individual provider Active NPI Registered Dietitian · MC Cook, NE
NPI 1992330302 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1992330302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 799 (NE)
- Practice address
- 106 W 3Rd St
MC Cook, NE 69001-3645 - Phone
- (308) 345-7775
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 425 | KS | MD | Registered Dietitian |
| 799 | NE | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 425 | KS | |
| Registered Dietitian | 133V00000X | 799 | NE | Yes |
Addresses
Primary practice location
106 W 3Rd St
MC Cook, NE 69001-3645
Mailing address
PO Box 488
MC Cook, NE 69001-0488
Phone (308) 345-7775
Other providers in MC Cook, NE
- Cynthia Schroeder
- Ethen Scott
- Reagan Shaw
- Alysia Nicole Sheets
- Kari Sheffield
- Carrie Lynn Smith
- Crystal Smith
- Judi Lynn Smith
- Southwest Area Training Service
- Southwest Nebraska Public Health Department
All providers in MC Cook, NE · Registered Dietitian in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.