Healthcare Provider Details

I. General information

NPI: 1669820668
Provider Name (Legal Business Name): TERESA GERBELING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERESA HOSTETLER RD LMNT

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 S 27TH ST
LINCOLN NE
68512-4802
US

IV. Provider business mailing address

7501 S 27TH ST
LINCOLN NE
68512-4802
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-6305
  • Fax: 402-481-6338
Mailing address:
  • Phone: 402-481-6503
  • Fax: 402-481-6338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number584
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number864307
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: