Life Cycle Nutrition LLC
Dietitian, Registered in Omaha, NE. Organization (NPI-2).
NPI number1952894875
StatusActive
Last updated in NPPESJun 14, 2018
Details
- NPI
- 1952894875
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Cycle Nutrition LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2018
- Last updated
- Jun 14, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
11329 P St Ste 126Omaha, NE 68137-2315
Phone 402-509-3500
Mailing address
2524 S 138th StOmaha, NE 68144-2452
Authorized official
Krista Godfrey
Registered Dietitian, Owner
4025093500
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