MRS. KATHRYN ANN RETZLAFF (NPI# 1093259541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093259541 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN ANN RETZLAFF |
| Credential | LMNT |
| Practice Address |
120 Park Ave Hebron NE 68370-2019 |
| Practice Telephone | 4027686041 |
| Practice Fax Number | 4027684672 |
| Mailing Telephone | 4027686041 |
| Mailing Fax Number | 4027684672 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 139 | NE | Dietary & Nutritional Service Providers |
| Street Address |
120 PARK AVE |
| City | HEBRON |
| State | NE |
| Zip Code | 68370-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291131 | Margaret M Johnson | Physician Assistant | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-07 |
| 1326679184 | Jayda Edgar | Registered Nurse | 120 Park Ave, Hebron, NE 68370-2019 | 2020-01-30 |
| 1184109324 | Jarie Sones | Nurse Practitioner | 120 Park Ave, Hebron, NE 68370-2019 | 2018-10-02 |
| 1982013264 | Jessica Zimmerman | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2014-08-12 |
| 1851642102 | Michael Wayne Logsdon | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2012-09-26 |
| 1699034280 | Leann Heinrichs | Family Medicine | 120 Park Ave, Hebron, NE 68370-2019 | 2012-05-16 |
| 1811164858 | Chie Boyer | Speech-Language Pathologist | 120 Park Ave, Hebron, NE 68370-2019 | 2008-05-09 |
| 1972778991 | Traci Zelenka | Physical Therapy Assistant | 120 Park Ave, Hebron, NE 68370-2019 | 2008-04-30 |
| 1225168180 | Terry Lynn Schaldecker | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2007-03-07 |
| 1134236524 | Randolph William Waldman | Family Medicine | 120 Park Ave, Hebron, NE 68370-2019 | 2006-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794864 | Jennalee Marie Harris | Counselor | 6150 Highway 136 Suite 1, Hebron, NE 68370 | 2016-08-12 |
| 1225041486 | City of Hebron | Ambulance | 5th & Jefferson, Hebron, NE 68370 | 2006-08-15 |
| 1043301138 | The County of Thayer | Ambulance | 225 N. 4th Street, Hebron, NE 68370-0201 | 2006-09-27 |
| 1932391729 | Blue Valley Lutheran Homes Society Inc | Assisted Living Facility | 1 Terrace Cir, Hebron, NE 68370-1071 | 2007-08-15 |
| 1265710008 | Aaron Dye | Physical Therapist | 147 Northside Cir, Hebron, NE 68370-1109 | 2011-07-27 |
| 1073709978 | Bradley Donald Cooper | Physical Therapist | 535 N 9th St, Hebron, NE 68370-1403 | 2007-09-24 |
| 1255707188 | Michelle Souerdyke | Speech-Language Pathologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2015-08-14 |
| 1710460670 | Brenda Glunz | Psychologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2018-09-07 |
| 1952506743 | Kelcey Berg | Dentist | 124 N 5th St, Hebron, NE 68370-1512 | 2007-06-20 |
| 1912292038 | Jim Cossaart Dds | Dentist | 124 N 5th St, Hebron, NE 68370-1512 | 2011-06-16 |
| Find all providers in zip 68370 | ||||
| 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 |
|---|---|---|---|---|
| 1710427109 | Cheryl Stebbins | Dietitian, Registered | 1759 Elmburn Ln, Hebron, KY 41048-6712 | 2017-03-03 |
| 1861478703 | Monica R Madsen | Dietitian, Registered | 120 Park Ave, Hebron, NE 68370-2019 | 2005-12-22 |
| 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 |
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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.