Active NPI
Edward Charles Deehan, PHD, RD
- Registered Dietitian
- Lincoln, NE
National Provider Identifier
1992487326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1738
- Practice address
- 4627 Tipperary TRL
Lincoln, NE 68512-1441 - Phone
- (402) 470-1960
- NPI assigned
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
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
- Credentials
- Doctor of Philosophy
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 | 1738 | NE | Primary |
Addresses
Primary practice location
4627 Tipperary TRL
Lincoln, NE 68512-1441
Mailing address
4627 Tipperary TRL
Lincoln, NE 68512-1441
Phone (402) 470-1960
NPI Registry JSON
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1992487326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4627 TIPPERARY TRL",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121441",
"telephone_number": "402-470-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4627 TIPPERARY TRL",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685121441",
"telephone_number": "402-470-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEHAN",
"first_name": "EDWARD",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHD, RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "1738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.