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Contact Information

KRISTA M GODFREY, R.D.
8200 DODGE ST
OMAHA, NE68114-4113
 Phone: 402-955-6191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for KRISTA M GODFREY · (Female)

NPI Number 1508134560
Status Active
Credentials R.D.
Entity Individual
Enumeration date 12/06/2011
Last updated 04/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 1021
  • NE Medicaid 133VN1004X
  • Other 133VN1004X PEDIATRIC NUTRITION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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