MS. MIRIAM E FLACK (NPI# 1629309109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629309109 |
| Entity Type | Individual |
| Full Name | MS. MIRIAM E FLACK |
| Credential | RD, LMNT |
| Practice Address |
2501 Capehart Rd Offutt A F B NE 68113-1043 |
| Mailing Address |
2501 Capehart Road Bellevue NE 68113-2160 |
| Practice Telephone | 4025914500 |
| Practice Fax Number | 4025914519 |
| Mailing Telephone | 4025914500 |
| Mailing Fax Number | 4025914519 |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 941 | NE | Dietary & Nutritional Service Providers |
| Street Address |
2501 CAPEHART RD |
| City | OFFUTT A F B |
| State | NE |
| Zip Code | 68113-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841562212 | Kendra Lynn Haynes | Dental Hygienist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2012-02-01 |
| 1275816902 | Jeremy Lee Hurst | Nurse Practitioner | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2011-09-20 |
| 1568758746 | Daniel Joseph Binkowski | Dentist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2011-06-25 |
| 1427355866 | Andrea Jefferson | Military Health Care Provider | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2011-02-22 |
| 1447553169 | Jeffrey Grant Larkin | Dentist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2010-12-20 |
| 1194954412 | Molly Claire Goessling | Pharmacist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2009-07-08 |
| 1447486253 | Aaron Michael Wulff | Dentist | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2009-06-08 |
| 1407082522 | Claude Alan Russo | Military Health Care Provider | 2501 Capehart Rd, Sgopf, Offutt A F B, NE 68113-1043 | 2009-06-03 |
| 1245465137 | Gregory Royce Beavers | Military Health Care Provider | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2009-05-20 |
| 1619111895 | Jacquelene Sheree Cota | Military Health Care Provider | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386133668 | Peter Mitchell Martin | Family Medicine | Offutt Afb Family Medicine Residency, 2501 Capehart Rd., Offutt Afb, NE 68113 | 2018-05-02 |
| 1619212792 | Tyrone Antonio Simon | Social Worker | 2501 Capehart Rd Bldg 4000, Offutt Afb, NE 68113 | 2012-11-30 |
| 1245536994 | Aaron Bradley Smith | Military Health Care Provider | Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt Afb, NE 68113 | 2011-01-28 |
| 1962719294 | Amy Elaine Klein | Optometrist | 106 Meyer Ave, Bldg 166, Offutt Afb, NE 68113 | 2010-09-08 |
| 1720248974 | Americas Best Contacts & Eyeglasses | Technician/Technologist | Bldg 166 Offutt Afb Exchange, Offutt Afb, NE 68113 | 2008-06-11 |
| 1548343296 | Jack David Wright | Pharmacist | 2501 Capehart, Erhling Bergquist Hospital, Offutt Afb, NE 68113 | 2006-10-23 |
| 1215023890 | Mark James Angerbauer | Dentist | 2501 Capehart Rd., Omaha, NE 68113 | 2006-10-04 |
| 1003915430 | 55th Medical Group Sgsl | Pharmacy | Bldg 107 Rm 101, Offutt, NE 68113 | 2006-09-22 |
| 1407804800 | Valerie June Malloy | Family Medicine | Offutt Afb, Erhling Berquist Clinic, Belluvue, NE 68113 | 2006-05-05 |
| 1457766909 | Robyn Thiede | Nurse Practitioner | 2501 Capehart Road, Family Medicine Residency Clinic, Ehrling Bergquist, Offutt Afb, NE 68113 | 2014-06-24 |
| Find all providers in zip 68113 | ||||
| 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 |
| 1538772330 | Kristen Jensen | Dietitian, Registered | 164 Arbor Ct, Omaha, NE 68108-1725 | 2020-08-31 |
| 1316558760 | Jennifer Baier | Dietitian, Registered | 8310 F St, Omaha, NE 68127-1735 | 2020-08-10 |
| 1154948248 | Katie Beller | Dietitian, Registered | 47023 115 Ave, Leigh, NE 68643-5002 | 2020-07-06 |
| 1669098166 | Marina Danielle Channer | Dietitian, Registered | 3159 43rd Ave, Columbus, NE 68601-4421 | 2020-06-19 |
| 1962041681 | Brenda L Johnson | Dietitian, Registered | 12383 S 78th St, Papillion, NE 68046-4765 | 2019-12-28 |
| 1881231058 | Stephanie Sue Nielsen | Dietitian, Registered | 1905 S 123rd Ave, Omaha, NE 68144-2769 | 2019-12-05 |
| 1760031371 | Teri Grace Lee | Dietitian, Registered | 807 Cody Cir, Papillion, NE 68046-3747 | 2019-09-06 |
| 1326607060 | Elizabeth Baker | Dietitian, Registered | 3128 Puritan Ave, Lincoln, NE 68502-4230 | 2019-06-06 |
| 1629632864 | Susan Marie Mclaughlin | Dietitian, Registered | 7905 Pacific St, Omaha, NE 68114-5347 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | OFFUTT A F B |
| Zip Code | 68113 |
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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.