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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
641 | NE | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025484200 | 05 |
Street Address |
2200 H ST |
City | FAIRBURY |
State | NE |
Zip Code | 68352-1119 |
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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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 |
Find all providers in zip 68352 |
Taxonomy Code | 133NN1002X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Nutritionist |
Specialization | Nutrition, Education |
Definition to come... |
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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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.