DESTINY MOSTEK (NPI# 1992225817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992225817 |
| Entity Type | Individual |
| Full Name | DESTINY MOSTEK |
| Credential | MS, RD, LMNT |
| Practice Address |
2201 N. Broadwell Ave Grand Island NE 68803 |
| Mailing Address |
2201 N Broadwell Ave Grand Island NE 68803-2153 |
| Practice Telephone | (308) 382-3660 |
| Mailing Telephone | 3083823660 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
2201 N. BROADWELL AVE |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| 1619278363 | 5md Convenient Care LLC | Clinic/Center | 425 Diers Avenue, Grand Island, NE 68803 | 2010-11-11 |
| Find all providers in zip 68803 | ||||
| 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 |
|---|---|---|---|---|
| 1508383027 | Amy J Walker | Dietitian, Registered | 2201 N Broadwell Ave Bldg 4, Grand Island, NE 68803-2153 | 2017-08-25 |
| 1407220387 | Hollis Ann Busch | Dietitian, Registered | 1029 W River Rd, Grand Island, NY 14072-2422 | 2015-11-16 |
| 1710141890 | Jo Ann Marie Mallo | Dietitian, Registered | 452 White Haven Rd, Grand Island, NY 14072 | 2008-07-17 |
| 1962884759 | Tara Neighbors | Dietitian, Registered | 115 Wilmar Ave, Grand Island, NE 68803-3547 | 2015-06-29 |
| 1588906135 | Shannon Frink | Dietitian, Registered | 115 Wilmar Ave, Grand Island, NE 68803-3547 | 2013-03-21 |
| 1184980732 | Doreen Hope Foland | Dietitian, Registered | 2620 W Faidley Ave, Grand Island, NE 68803-4205 | 2012-04-09 |
| 1750681870 | Department of Veteran Affairsnebraska Western Iowa Health Care System | Dietitian, Registered | 2201 North Broadwell Avenue, Grand Island, NE 68803 | 2010-10-22 |
| 1336339761 | Heather Rene' Siemers | Dietitian, Registered | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | 2007-08-01 |
| 1215137211 | Brooke Lee Trimble | Dietitian, Registered | 2620 W Faidley Ave, Grand Island, NE 68802-9804 | 2007-07-19 |
| 1366529059 | Heather Peterson | Dietitian, Registered | 2116 W Faidley Ave, Grand Island, NE 68803-4645 | 2006-11-01 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
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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.