MRS. MOLLY E PETRIK (NPI# 1023097037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023097037 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY E PETRIK |
| Other Name | MOLLY JOHNSON |
| Credential | RD LMNT CDE |
| Practice Address |
2246 O St Lincoln NE 68510-1121 |
| Mailing Address |
1949 Nw 44th Street Lincoln NE 68528 |
| Practice Telephone | 4024130430 |
| Mailing Telephone | 3196216107 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 01544 | IA | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1949 Nw 44th Street, Lincoln, NE 685281940 | 4026177626 | |
| 2246 O St, Lincoln, NE 685101121 | 3196216107 |
| Street Address |
2246 O ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68510-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326436577 | Bluestem Health | Family Medicine | 2246 O St, Lincoln, NE 68510-1121 | 2014-12-22 |
| 1639297906 | Nancy Lorraine Waltman | Nurse Practitioner | 2246 O St, Planned Parenthood of Ne and Council Bluffs, Lincoln, NE 68510-1121 | 2007-03-26 |
| 1366463606 | Planned Parenthood of Nebraska and Council Bluffs | Clinic/Center | 2246 O St, Lincoln, NE 68510-1121 | 2006-07-22 |
| 1174592059 | Tad D. Casper | Family Medicine | 2246 O St, Lincoln, NE 68510-1121 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1700361573 | Sue Marie Maxwell | Licensed Practical Nurse | Lincoln Public Schools, 5905 O Street, Lincoln, NE 68510 | 2018-09-27 |
| 1649752759 | Kathryn Jean Kuzelka | Licensed Practical Nurse | 544 South 28th Street, Lincoln, NE 68510 | 2018-09-05 |
| 1013404599 | Amanda Ehlers | Registered Nurse | Lps District Office, 5905 O Street, Lincoln, NE 68510 | 2018-04-19 |
| 1225535081 | Jana Kathleen Mcnemar | Counselor | 245 South 84th Street, Suite 212, Lincoln, NE 68510 | 2018-04-09 |
| 1265932313 | Kimberly Elwood | Specialist/Technologist | 2229 J St., Lincoln, NE 68510 | 2018-02-15 |
| 1881193266 | Susan Kangas-packett | Registered Nurse | 1000 South 70th St., East High School, Health Office, Lincoln, NE 68510 | 2018-02-12 |
| 1023517000 | Tara Johnson | Licensed Practical Nurse | Lpsdo 5905 O St, Lincoln, NE 68510 | 2018-02-06 |
| 1427566413 | Tracy Russell | Counselor | 245 S 84th Street, Suite 212, Lincoln, NE 68510 | 2018-01-12 |
| 1447778964 | Erin Elizabeth Cristello | Speech-Language Pathologist | 300 S 48th Street, Lincoln, NE 68510 | 2017-09-05 |
| Find all providers in zip 68510 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033245 | Janet Sue Buck | Dietitian, Registered | 4105 Y St, Lincoln, NE 68503-2160 | 2020-11-05 |
| 1477164002 | Heidi Lidgett | Dietitian, Registered | 1254 Alberton Cir, Lincoln, CA 95648-3214 | 2020-08-17 |
| 1326607060 | Elizabeth Baker | Dietitian, Registered | 3128 Puritan Ave, Lincoln, NE 68502-4230 | 2019-06-06 |
| 1558877472 | Angelina Stovall-amos | Dietitian, Registered | 285 S 68th Street Pl Ste 308, Lincoln, NE 68510-2584 | 2017-12-15 |
| 1396256517 | Katelyn Castro | Dietitian, Registered | 1939 Southern Light Dr, Lincoln, NE 68512-3642 | 2017-10-15 |
| 1609313766 | Salena Hirschbrunner | Dietitian, Registered | 9200 S 28th St, Lincoln, NE 68516-5976 | 2017-01-27 |
| 1346604956 | Sally Jean Hillis | Dietitian, Registered | 1943 Pawnee St, Lincoln, NE 68502-4648 | 2016-04-09 |
| 1992164164 | Laura Sprague | Dietitian, Registered | 1079 Kirkland Ln, Lincoln, CA 95648-7210 | 2016-02-16 |
| 1699157511 | Kimberly Anne Lassen | Dietitian, Registered | 6260 S 79th St, Lincoln, NE 68516-3881 | 2015-06-27 |
| 1912399429 | Nathan Lore | Dietitian, Registered | 2690 W Sumner St, Lincoln, NE 68522-4439 | 2015-02-21 |
| Find all providers in LINCOLN | ||||
Please comment or provide details below to improve the information on MRS. MOLLY E PETRIK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.