MRS. LISA A EDEAL


Address: 2200 H St, Fairbury, NE 68352-1119
Phone: 4027296846

MRS. LISA A EDEAL (NPI# 1548417298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548417298
Entity Type Individual
Full Name MRS. LISA A EDEAL
Credential RD
Practice Address 2200 H St
Fairbury
NE 68352-1119
Mailing Address 2200 H St
Po Box 277
Fairbury
NE 68352-1119
Practice Telephone 4027296846
Mailing Telephone 4027296846
Enumeration Date 2008-08-25
Last Update Date 2009-12-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
641 NE Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE 10025484200 05

Office Location

Street Address 2200 H ST
City FAIRBURY
State NE
Zip Code 68352-1119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861435448 Gary Lee Mitchell Pharmacist 2200 H St, Fairbury, NE 68352-1119 2006-06-13
1063050532 Kensly N Williams Physician Assistant 2200 H St, Fairbury, NE 68352-1119 2019-12-16
1285141135 Tyler Maguire Physician Assistant 2200 H St, Fairbury, NE 68352-1119 2018-01-01
1245747179 Kelsey Rae Maguire Physician Assistant 2200 H St, Fairbury, NE 68352-1119 2017-12-31
1053796177 Nichole Schlake Physical Therapist 2200 H St, Fairbury, NE 68352-1119 2015-07-30
1275926792 Kahla Chrisman Physical Therapy Assistant 2200 H St, Fairbury, NE 68352-1119 2015-03-09
1821429135 Matthew James Johnson Physical Therapy Assistant 2200 H St, Fairbury, NE 68352-1119 2013-12-12
1366793887 Justin Schardt Physical Therapist 2200 H St, Fairbury, NE 68352-1119 2012-09-24
1417198367 Jefferson Community Health Center, Inc Skilled Nursing Facility 2200 H St, Fairbury, NE 68352-1119 2009-03-23
1063689917 Amy R Martin Physical Therapist 2200 H St, Fairbury, NE 68352-1119 2008-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205908308 Brenda S Rippe Case Manager/Care Coordinator 521 E Street, Fairbury, NE 68352 2006-11-14
1821015884 Tatro Chiropractic PC Chiropractor 425 D St, Fairbury, NE 68352 2006-07-16
1013031178 Prairie View Industries, Inc. Durable Medical Equipment & Medical Supplies 2620 Industrial Drive, Fairbury, NE 68352-0575 2007-03-16
1881611986 Walmart Inc. Durable Medical Equipment & Medical Supplies 2831 Highway 15, Fairbury, NE 68352-1008 2006-07-16
1336748862 Danielle Nicole Blackburn Pharmacist 2831 Highway 15, Fairbury, NE 68352-1008 2020-10-26
1396259560 Kayla Renee Specht Pharmacist 2831 Highway 15, Fairbury, NE 68352-1008 2017-11-27
1710491394 Michael Gude Pharmacist 2831 Highway 15, Fairbury, NE 68352-1008 2017-11-19
1134412992 Fairbury Assisted Living Facility Assisted Living Facility 828 22nd St, Fairbury, NE 68352-1202 2011-05-26
1992322481 Morgan Hill Physical Therapist 909 17th St, Fairbury, NE 68352-1215 2020-06-30
1558891796 Vsl Fairbury LLC Skilled Nursing Facility 909 17th St, Fairbury, NE 68352-1215 2017-06-19
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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306935077 Shannon Muhs Nutritionist 11650 S 73rd St, Hy-vee, Inc., Papillion, NE 68046-1500 2006-10-12
1598224842 Tammy Jorene Burton-fikar Nutritionist 3763 39th Ave Ste 400, Columbus, NE 68601-4530 2019-03-17
1114440062 Think Aksarben, LLC Nutritionist 7100 W Center Rd, Omaha, NE 68106-2714 2017-07-24
1144640764 Holly Thiele Nutritionist 645 Osage St, Sidney, NE 69162-1714 2014-04-22
1689905754 Janis M Lindberg Nutritionist 520 E 10th St, Superior, NE 68978-1225 2010-01-28
1780811323 Howard County Medical Center Nutritionist 1113 Sherman St, Saint Paul, NE 68873 2009-06-22
1265670582 Sherry A Adams Nutritionist 601 N 30th St, Omaha, NE 68131-2137 2009-01-23
1588834378 Kristina Marie Hoffman-rieken Nutritionist 8200 Dodge Street, Children's Hospital - Eating Disorders Program, Omaha, NE 68114-4113 2008-03-07
1336343433 Joni Pagenkemper Nutritionist 119 N 51st St, Omaha, NE 68132-2867 2007-06-13
1982774964 Memorial Health Care Systems Nutritionist 300 N Columbia Ave, Seward, NE 68434-2299 2006-11-08
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Competitor

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City FAIRBURY
Zip Code 68352

Improve Information

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Dataset Information

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.

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