Godfrey, Krista Marie

Godfrey, Krista Marie is an individual health care provider with primary practice located at 8200 Dodge St , Omaha NE 68114-4113. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutritionist. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Godfrey, Krista Marie can be contacted via phone (402) 955-6191.

Contact Information

Primary practice address
8200 Dodge St Omaha NE 68114-4113
Phone: (402) 955-6191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1021 Nebraska
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1021 Nebraska
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 1021 Nebraska
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 1021 Nebraska

Profile Details

NPI number 1508134560
LBN Legal business name Godfrey, Krista Marie
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2011
Last updated Apr 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508134560 NPPES
Other 133VN1004X PEDIATRIC NUTRITION
MEDICAID 133VN1004X PEDIATRIC NUTRITION

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